Inspection on 22/06/06 for Wellington Road (51)

This inspection was carried out on 22nd June 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 no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wellington Road (51) 24/09/08

Wellington Road (51) 08/02/06

Wellington Road (51) 20/09/05

Wellington Road (51) 10/03/05

Wellington Road (51) 24/09/04

Wellington Road (51) 27/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Wellington Road (51) 51 Wellington Road New Brighton Wallasey Wirral CH45 2ND Lead Inspector Leila Mavropoulou Key Unannounced Inspection 22nd June 2006 2:30 Wellington Road (51) DS0000018954.V294611.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 Wellington Road (51) DS0000018954.V294611.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. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellington Road (51) Address 51 Wellington Road New Brighton Wallasey Wirral CH45 2ND 0151 639 5685 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) dmilligan@btinternet.com Mrs Patricia Pauline Milligan Darryl Lindsay Milligan Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th February 2006 Brief Description of the Service: Wellington Road provides accommodation and personal care for 8 service users with learning disability in both single and shared bedrooms. The service is a large semi-detached house in the New Brighton area of Wallasey and is within a short walking distance from the promenade. The service has two large sitting rooms and a dining area on the ground floor. The service is a short walking distance from the local shops, train station and bus stop. Most staff have completed the NVQ level 2 Care Qualification. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which lasted four and half-hours. During this time six service users and four staff were spoken to, to obtain their views about the quality of care provided at Wellington Road. Service users and staff records were inspected as well as other records that the service is required to maintain. What the service does well: What has improved since the last inspection? The care plan format has been changed and there is ongoing work to ensure that all relevant information is contained in the service user plans. The registered manager has formalised staff supervision and a record is kept of issues discussed. The storage and filing of information has improved since the last inspection and information is easily accessible. The kitchen has been refurbished. The registered manager is starting the NVQ level 4 Management and Care Award. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 6 The service has implemented the “Safer Food Better Business” record keeping which is promoted by the Food Standard Agency. The decoration required to be done in the bedrooms have been completed. The registered person is forwarding a copy of their monthly visit report to the Commission. 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. Wellington Road (51) DS0000018954.V294611.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 Wellington Road (51) DS0000018954.V294611.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): 1,2,3,4, “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The service ensures that it is able to meet the needs of new service users by having a prolonged pre-admission assessment. EVIDENCE: The registered manager should review the Statement of Purpose to ensure that it continues to reflect the current facilities and services provided at Wellington Road. The Statement of Purpose gives prospective service users the following information: category, number of service users, type of accommodation provided, qualification of staff etc. This would allow service user or their representative to assess for themselves whether the needs of the service user would be met at Wellington Road. One service user has been admitted to Wellington Road since the last inspection. The staff assessment as to the suitability of the service user was over several weeks. This included a short visit, overnight stay with the length of each visit increasing. This was to ensure the compatibility of the new service user with the existing service users and to give the staff the opportunity to assess for themselves the accuracy of the information contained in the service user Care Management Assessment. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 9 The staff at Wellington Road have the necessary caring and personal qualities to meet the needs of service users. The recent admission to Wellington Road has complemented the service user mix and they have been accepted as part of the “family” at Wellington Road. All service users are given a written terms and conditions of the care home. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9, 10 available evidence including a visit to this service.” Service users health needs are met and are supported to take responsible risks to maintain their independence. EVIDENCE: The format used for the service user plans and risk assessments have been revised since the last inspection and there is ongoing work to ensure that all necessary information is included and that all staff know how to complete them. The service user plans completed showed that not all the required information is included. The registered person must ensure that all of the information they and establishment staff have of service users patterns of daily living are included in the plan to enable new staff to acquire the information easily. The registered person must ensure that service user plans are reviewed at least every six months at the care home with the service user and their representative if they wish. Currently, most of the service users have annual/six monthly reviews at Ashton House by a multidisciplinary team. The registered person should ensure that risk assessments are in place for service users when they go out independently with timescales as to when the home’s Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 11 missing person policy would be implemented. Service users are supported to take responsible risks and access various community facilities and use public transport independently. Discussion with staff showed that they are able to give examples of when service users have made choices about their daily lives e.g. visiting family, outings, holiday, purchases etc. Observation and discussion with the staff demonstrate clearly that the service users make decision over their lives such as: choosing to gain employment, holidays, going home for the weekend, shopping, meals etc. The service users are supported by staff to manage their finance and records are kept of valuables/monies given to staff for safekeeping, which is audited regularly by the registered manager. Service users are consulted on all aspect of their daily lives informally, usually at mealtime when all of the service users are together. The service has a policy on confidentiality which is accessible to service users and their family. It was observed that service users records are kept in a secure place. An incident regarding one of the service user demonstrated that service user know that information given to the manager of the home would not be shared with family and friends against their wishes. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15,16,17 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users are supported to maintain daily living skills and develop new ones with the support of staff and other agencies. EVIDENCE: All service users attend various day centres Monday to Friday where they engage in a wide variety of activities to meet their individual interests/preferences such as: gardening, cooking, computer skills etc. Service users are responsible for specific household tasks and there is rota showing the delegation of tasks. Tasks include washing up after meals and tidying kitchen worktops, the communal areas, maintaining their bedroom with the support of staff etc. These tasks are rotated to enable all service users to carry out a different task each day. Shops, the promenade, pubs, restaurants, various churches, library etc. are within a short walking distance from the home. Service users and staff bring Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 13 information about local community events to home. This could be newspapers or flyers. Much of the activity at the home is spontaneous depending on the weather and how service user feel. Life at Wellington is “normal” in as much as service user decide that they want to do something and it is organised on the spot such as: going to the cinema, pub etc. A holiday away from Wellington Road is included in the weekly fee and service users choose where to go on holiday. The service users have decided to go to Scarborough in August for their holiday with the support of staff. Service users access community entertainment, as they are able to do so easily. The usual home entertainment is available in the home such as: videos, DVD, music, and a small pool table. Service users are supported and encouraged to visit their friends and family at the weekend and many of them do so. The staffing level at the home is higher at the weekend to reflect the level of activity at the home and to enable staff to accompany service users individually to access community facilities such as: personal shopping, hairdressing etc. The service has an unrestricted visiting policy and service users choose where to see their visitors. This can either be in one of the three communal areas or in their bedroom. Service users bedroom doors have a lock and service users can choose to have a key to their bedroom. The mealtimes at Wellington Road are flexible to meet the needs of service users. The evening meal is an opportunity for all service users to meet and sit down together at the dining table to promote group/family living and exchange information about their day. A record of all food provided to service users is maintained and they are fully involved in the planning of the menu. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 14 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): 18,19,20,21 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The staff closely monitors service user health and where necessary obtain appropriate support/advice from other health professionals. EVIDENCE: All service users are able to transfer independently and do not currently require any aids to promote their independence or safety. Staff provide minimal supervision to service users with their personal care. Service users files examined showed that they receive regular health checks from the dentist, optician, and chiropodist and that their medication and health are reviewed either by their GP or a multidisciplinary team at Ashton House. Discussion with staff indicated that they would accompany service users to outpatient appointments. The staff are obtaining information on service user diagnosis to ensure that they understand the needs of the service users and an awareness of indicators/changes to their behaviour or health, which should be reported to specialist health professional to facilitate early intervention to promote their good health. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 15 A monitored dosage system is used for the administration of service users medication. The recording of service users medication has improved since the last inspection and an accurate record is maintained of service users medication received into the home. Currently, none of the service user administers their medication. If a service user wish to administer their medication they maybe able to do so after they are assessed by staff at the home and appropriate risk assessment is carried out. Information wherever possible is obtained regarding service users wishes if they became terminally ill or dying. When a service user health deteriorates the management at the home will continue to care for the service user as long as their needs could be met. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Service users are protected from abuse through staff training and the home’s recruitment procedure. EVIDENCE: No formal complaint has been received since the last inspection. The service complaint procedure is displayed in a prominent position. Concerns raised by service users or their family are dealt with promptly before the complaint need to be formalised through the service complaint procedure. Training in managing physical and verbal aggression is provided to staff via a video training package. The registered manager should attend an external course on managing physical and verbal aggression to ensure that their knowledge and skills are current. The service has various policies to protect service users such as: Whistle Blowing. The registered person should ensure that issues of abuse is discussed at staff meetings and staff supervision to ensure that staff understand the various forms of abuse and how the home’s procedure for dealing with allegations of abuse. Policies are in place to prevent staff from benefiting from service user wills. Wellington Road (51) DS0000018954.V294611.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Wellington Road provide spacious and comfortable environment for service users, which is clean and well maintained. EVIDENCE: The building was clean and well maintained on the day of the inspection. The garden to the rear and front of the property was clean and the flowerbeds maintained. The furnishings in the care home are of a good quality and domestic in character. Service users that are not mobile could not be accommodated at Wellington Road, as all bedrooms are on the upper floors and the home does not have a passenger or chair lift to enable service users to access the upper floors easily. The accommodation is provided in both single and shared bedrooms. The shared bedrooms have a privacy screen to promote service users privacy. Each bedroom is furnished and decorated differently reflecting the differing taste/interest of the service user. The bedrooms have sufficient plugs for service users electrical appliances and storage for their belongings. Some of Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 18 the bedrooms have an en-suite. Communal bathrooms and toilets are located on each floor near to service user bedrooms. The service has a lounge/dining room and another lounge on the ground floor. Both of the lounges on the ground floor have a television. There is an additional lounge on the first floor, which is used by service users for listening to music. There is separate sleeping in bedrooms for staff working a sleeping in duty, which has adequate storage space of their personal belongings. All service users bedrooms have a call system, which is used by service users in an emergency. A STROBE is provided to a service user that has a hearing impairment, to enable them to respond to the fire alarm. The laundry facility is sited away from the food preparation area and policies and procedures are in place to minimise the spread of infection. Wellington Road (51) DS0000018954.V294611.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” A committed and enthusiastic staff group provide personal care and meet the social needs of service users. EVIDENCE: The staff are friendly, approachable and actively promote the philosophy of the home, which is very much about promoting service users rights and independence. The homely feeling is achieved through the management and staff attitude towards service users. The environment at Wellington Road can be described as one, which is warm, friendly and relaxed, where everyone rights are respected. The staff have the time to get to know and develop relationships with service users. Discussion with staff and entries in service users files showed that they are aware of their knowledge and skills limitations and would seek advice from other specialist health professional to promote the health and well being of service users. Some staff have completed their NVQ level 2 & 3 Care Qualification and two staff are working towards their NVQ level 2 Care Award. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 20 Inspection of the staff rota and staff records show that there is a low level of sickness and staff turnover at the care home. This promotes continuity of care to service users. Formal staff meetings have been introduced since the last inspection and minutes are kept of issues discussed. Examination of staff files showed that all staff had a Criminal Record Bureau Check, one staff had two references and the three staff only had one written reference, a contract, job description and an application form in their file. Individual staff training records were available for all staff and dates of when training should be updated. Currently, two staff are working towards the NVQ level 2 Care Award. At present 60 of the staff group have completed NVQ level 2 in care. The registered manager should review its staff induction programme to ensure that it complies with the Sector Skills Council specification. Formal supervision has been implemented and examination of staff files confirmed this. In addition, the registered manager or the deputy manager supervises staff in their day-to-day practice. Wellington Road (51) DS0000018954.V294611.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43, “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The management of the home strives towards continually improving the quality of the service provided yet maintaining a homely environment for service users. EVIDENCE: The registered manager is commencing the NVQ level 4 Care and Management award, to maintain their knowledge and skills and to satisfy the requirement of the National Minimum Standards for Younger Adults 2001. Questionnaires are sent to service users and their representatives at regular intervals and comments are acted upon. The registered manager in the past has forwarded the Commission the annual report of the outcome of the questionnaires and the future objectives to improve the quality of service. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 22 The service policies and procedures are reviewed regularly to reflect changes in legislation and best practices. The record keeping and filing of service information has improved significantly since the last inspection. Information is stored securely and is easily accessible. The health and safety of service users is promoted through regular checks and servicing to fire equipment and staff training in the following: - food hygiene, first aid, and moving and handling and fire awareness. A building risk assessment has been carried out which must be reviewed at regular intervals to identify minor repairs and risks to service users. The home maintains a record of all accidents to service users and staff and where necessary the Commission is notified. Inspection of records relating to the service showed the following: weekly and monthly fire tests are carried out and the last fire drill was 22/05/06. The fire equipment, gas safety certificate, emergency lighting, fire alarm tests were up to date. The registered person should carry out regular hot water tests to ensure that the hot water at outlets used by service users are as near as possible to 43 degrees centigrade. A current Public Liability Insurance was displayed and the registered manager indicated that records are kept of expenditure at the care home. The registered person visits the care home regularly to provide support and supervision to the registered manager. The registered person has forwarded a report of their visit to the Commission. Wellington Road (51) DS0000018954.V294611.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 3 2 3 3 3 4 3 5 3 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 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 2 3 3 3 3 2 3 Wellington Road (51) DS0000018954.V294611.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. 1 Standard YA6 Regulation 15 Requirement The registered person must ensure that service user plans are detailed showing how service needs would be met. The plans must be reviewed at regular intervals with the service users and/or representatives wherever possible. The registered person must ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. The registered person must Obtain two written references for all staff employed at the care home. Timescale for action 30/08/06 2 YA9 13 15/08/06 3 YA34 18 15/08/06 4 YA42 23 The registered person must 15/08/06 ensure that the hot water at outlets used by service users is checked regularly to ensure that it close of 43 degrees centigrade. Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 25 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 YA1 Good Practice Recommendations The registered person should review the Statement of Purpose to ensure that staff qualifications are correct. The registered person should inform the service user in writing changes in their weekly fees. The registered manager should attend an external training course on managing physical and verbal aggression to ensure their skills and knowledge is current. The registered person should ensure that all staff knowledge on abuse is current and from time to time check their understanding. 2. YA5 3. YA22 4 YA23 Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Wellington Road (51) DS0000018954.V294611.R01.S.doc Version 5.2 Page 27 - 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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