Inspection on 14/11/06 for Westerley

This inspection was carried out on 14th November 2006.

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

The inspector 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

Westerley 29/10/07

Westerley 02/02/06

Westerley 12/09/05

Westerley 07/03/05

Westerley 04/11/04

Westerley 15/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Westerley 1 Winton Avenue Westcliff On Sea Essex SS0 7QU Lead Inspector Ann Davey Unannounced Key Inspection 14th November 2006 09.00 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 Westerley DS0000015484.V317770.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 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. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westerley Address 1 Winton Avenue Westcliff On Sea Essex SS0 7QU 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) 01702 349209 01702 213192 westcliff@lpma.demon.co.uk The Leaders of Worship and Preachers Homes Simon Andrew Lee Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 (Unannounced 11th May 2006) Brief Description of the Service: Westerley is registered to provide care and accommodation for 24 older people. The home is managed and run on Christian faith, belief and values. The premises was converted from 2 hotels and extended in 2001. All rooms have ensuite facilities. There are 5 double rooms, which may be used as large singles. Some bedrooms have views of the Thames Estuary. There is a choice of 2 lounges and a separate dining area. There is a small patio area at the rear of the home. A prayer service with hymns takes place in the lounge each weekday morning. There is no off street parking and the driveway provides very limited spaces. The home is situated close to the main shopping areas of Southend, Westcliff and Leigh on Sea. There are good bus and train links to the area. The range of fees provided by the manager was £406 - £500.00 per week. There are additional charges depending on the type of bedroom available/requested and items of a personal nature. A copy of the home’s Statement of Purpose is displayed in the foyer. The Service User’s Guide is being updated, but a very informative brochure about the home is available upon request. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection site visit. The inspection was undertaken over an 8-hour period. At this inspection, all key standards (plus others as appropriate) were assessed as well as the progress the home had made since the last inspection. A brief tour of the home took place. Staff, residents and a visiting professional were spoken with. A random selection of records was selected and viewed, and care practice was observed. The home was warm, friendly and welcoming. The registered manager was on holiday, but on hearing that inspection was taking place chose to attend. In preparation for this inspection, the Commission had sent out questionnaires, but unfortunately only one GP responded. However, as part of the home’s internal quality processes, the manager had sent out their own questionnaires. The response was reported as being positive and will be incorporated within the home’s pending Quality Development Plan. The majority of residents were spoken with at some stage during the visit. Some were spoken with in small group setting, whilst others were spoken with on an individual private basis. All spoke well of the home and their views have been incorporated within this report. Staff interacted well with residents and were very aware of individual needs. A visiting professional was also spoken with and these views have also been incorporated within the report. Whilst the home must be complemented on the provision of care in respect of food and social activities, there are significant regulatory shortfalls particularly in respect of medication administration and certain staffing issues. These matters are detailed within the body of this report. Please note that the email address on page 4 is not correct. This should read westcliff@lwpt.org.uk. This will be amended on the Commission’s database. What the service does well: The home has a number of strengths. The home presents as being very warm, friendly and inviting. Residents as far possible and practicable, shape and influence the management and running of the home on a daily basis. Food provision and the social/recreation aspect of life within the home exceeds what would be reasonably expected of a residential home. All residents understand Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 6 and accept the ethos of the home and therefore there is a common interest amongst those who live there. 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. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 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 Westerley DS0000015484.V317770.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessed care/health care needs had been adequately recorded. Information about the home was available. EVIDENCE: The home has a welcoming pleasant foyer area displaying a current Statement of Purpose, the home’s brochure and other items of interest both to residents and visitors. The formal Service User’s Guide is currently being updated, but will be available early in the New Year. The home’s brochure however provides detailed information about the home. Assessment documentation regarding the most recent admissions to the home were adequate in detail and content. Prospective residents are able to visit the home prior to any admission taking place. One recently admitted resident spoke very positively of her experience when admitted to the home. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning process is detailed, current and orderly. Medication practices require improvement as residents are at potential risk from administration errors being made. Residents’ rights of privacy and dignity are respected and upheld. EVIDENCE: Four sets of care plan documentation and associated records were selected at random and viewed. The recording system was orderly, informative and current. Residents’ views opinions and expectations were clearly recorded and well as those of significant others. Documentation demonstrated that residents fully participated in the planning of their own respective care. Risk assessments were current and detailed. It was evident that regular reviews take place. During the course of the day, the vast majority of residents were Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 11 spoken with; many have been living in the home for some time. All were very positive about the individual and corporate care they receive in the home. The home spoke of good working relationships with all health care professionals. Health care needs were recorded appropriately. The Commission received a positive written feedback from the home’s GP. During the course of the inspection, a visiting community nurse was spoken with. The feedback from the discussion was very positive and included ‘the home never has a malodour’, ‘staff are knowledgeable and helpful’ and ‘the residents are always smiling’. Medication practice(s) within the home requires urgent review and development as residents are at potential risk of errors being made. The shortfalls included out of date eye drops still being used, ‘controlled drugs’ still being held by the home even though they have not been used for over 3 months, ‘over the counter’ creams, lotions and cough linctus in residents bedrooms that had not been recorded anywhere and PRN (as/when necessary) medication protocols were out of date/not current. The member of staff administering medication had an inadequate knowledge of medication polices and procedures. There is a clear need for urgent training to be undertaken by all staff involved in medication practices. Observed care practices throughout the day demonstrated that all staff uphold individual residents rights of privacy and dignity. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy a full social, recreational and meaningful lifestyle. The home encourages and facilities contact with families, the community and local community facilities. The home provides a varied and balanced diet. EVIDENCE: The elements contained within the above standards form the main strength of the home. The home has it’s own Social Committee which is made of staff, residents and ‘Friends of Westerly’. The home has consistently provided a wide and varied range of in-house and community based activities and events throughout the year. The current week’s ‘activity programme’ was displayed on the notice board. Events are focused on residents’ suggestions, expectations and opinions. Some residents prefer a quieter lifestyle within the home and this is respected and facilitated. The home is managed and run on Christian beliefs and values and this underpins much of what happens in the home on a Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 13 day-to-day basis, therefore, this attracts residents of like mind and a mutual interest. Residents said that they are fully involved in all aspects of menu planning. The menu for the day was clearly displayed and records demonstrated that there is always plenty of choice and variety at all meals. Tables at breakfast, lunch and for tea were attractively laid and presented. The dining area was very pleasant and welcoming. Residents spoke very positively about this aspect of care. Food provision records were well maintained. Records demonstrated that residents are consulted about every aspect of their respective care within the home and are afforded choice and control over what happens to them. This is not only on an individual basis, but residents clearly see Westerly as their ‘home’ are therefore expect to be consulted on all appropriate aspects. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is displayed. Staff awareness of adult protection procedures needs to be reviewed to protect residents. EVIDENCE: A complaints procedure is clearly displayed on the notice board. Residents spoken with about this matter were very clear about their actions should they need to raise any matter of concern. The home has a transparent and open culture, and therefore residents are quite used to raise issues openly either through their residents’ meeting or on a more individual basis. They said that any issues of discontent are dealt with very quickly and therefore formal complaints are not common practice. There has been no formal complaints recorded since the last inspection. Care staff were clear that if any adult abuse was suspected, they would report it to the person ‘in charge’ of the shift. However, when the ‘person in charge’ of the shift was asked about their subsequent actions should an incident be reported to them, the response was not in line with current guidance. Training for adult protection awareness and reporting procedures must be reviewed and all staff must be fully conversant about what is expected of them. In recent months the manager has been involved with an adult protection matter external to the home. The manager has demonstrated a sound awareness and understanding of adult protection issues. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 15 Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home presented as being friendly, comfortable and pleasant. EVIDENCE: A very brief tour of the home took place. The home has a warm comfortable feel about it. The home is an older style design and therefore bedrooms are of different sizes, there are a number of corridors and accommodation is on different levels. As in keeping with this style of property, there is always some maintenance, repair or decoration to be carried out. Some areas of the home require attention and this will be done by the new handyman who is due to start soon. In many ways the home is not ‘ideal’ in shape, layout or design, but areas are used to their full potential and remain ‘fit for purpose’. Bedrooms tend to be ‘spruced’ up when a residents leaves and before the room is occupied again. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 17 Those bedrooms seen were homely and comfortable. All were very personalised. The communal areas of the home were tastefully decorated and comfortably furnished. The kitchen area was clean and orderly. The laundry area required some attention, as there were some health and safety issues to be addressed. These were discussed with the manager. Residents said that they had comfortable bedrooms and were happy with the communal areas. Residents said that they particularity like the main lounge area as it is to the front of the home opposite the office and they can see all that is going on and who is at the door. Although the home is not registered to provided care for residents with dementia care needs, some residents present as having disorientated, forgetful and confused periods. Along one corridor an unsupervised bucket had been left with exposed COSHH substances on display, there was an open box of washing powder on the laundry floor and throughout the home boxes of vinyl gloves and plastic aprons has been left. All areas must be left safe and consideration must given to current practice in order to minimise potential risk and harm to residents. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. A review of all staffing related matters is urgently required as some standards have slipped whist other regulatory requirements are not being met. Current practice places residents at potential risk as care needs may not be adequately met in the future. EVIDENCE: On the day of inspection, there were adequate staff on duty to meet the assessed care needs of current residents. The staff rota for the day was accurate and although there were considerable alteration, amendments etc, the document was clear. Staff on duty had a good understanding of residents assessed care needs. Staff were informative and very helpful. All wore a recognised uniform. Staff interacted well with residents. Often the rapport was in good humour but always with respect. The core group of senior staff have worked in the home for some time and this has provided a continuity of care for residents. Residents spoke well of staff and clearly there is a genuine respect for each other. Records demonstrate that staff have regular team meetings. However, a number of statutory shortfalls were evident and other areas of concern were discussed as follows. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 19 Staff members said that in recent months there has been some significant difficulty in maintaining adequate staffing levels due to holidays, sickness and staff leaving employment. Staff said that the previous weekend only 2 staff had been on duty for part of the day to provide personal care, domestic and cooking duties for 15 residents. They felt that the situation was not acceptable as they said that this number of staff on duty could place residents at potential risk. On the day on inspection, concern was being raised by staff about how shifts were going to be covered for the next day. The home is registered to provide care for 24 residents, but currently seems unable to demonstrate that it can provide consistent pre-planned adequate numbers of rostered staff for 15 residents. The manager stated that no further residents would be admitted until the home is in a position to confidently provide adequate consistent staffing numbers. There clearly needs to be a review of the situation. However, the Commission was satisfied that the manager was taking the situation seriously, and that the issues would be addressed appropriately. At the time of inspection, the home was dealing with several staff applications. A discussion took place about ‘adequate’ staffing numbers. The ‘staffing formula’ used by the previous Commission (NCSC) is now considered to be rather outdated and cannot be relied upon solely, as it is not recognised or meant to be an all-inclusive tool. The home is required to demonstrate that it can meet the regulatory requirement as detailed in the agenda for action section. This means that there must be adequate experienced, skilled and trained staff on duty at all times to meet the assessed care needs of residents. At present the home has no assessment tool by which the home can demonstrate compliance with this regulation. The recruitment records of the most recent 2 staff members were viewed. One did not contain an application form and the home could not evidence that it had a current POVA 1st and/or CRB check for the other. Neither had adequate induction records. The inspector was informed that some elements of staff records are kept at the home of a senior member of staff. This practice is not acceptable. The home has a staff-training matrix where some training had already been identified as being required. In addition to training needs already identified by the home, the inspector identified further training needs in respect of medication, POVA, maintaining statutory records and health and safety matters. Unlike other inspections, senior staff on duty on this occasion presented as being stressed about aspects identified above, and this was being picked by residents who spoke to the inspector about the staffing situation. The home must review the situation, address the shortfalls and bring the identified elements back up to regulatory standard. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 20 Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally the home is managed well and run in the best interest of residents, however, the outcome is weakened by shortfalls in maintaining identified statutory requirements. EVIDENCE: The registered manager said that he would complete his Registered Manager’s Award (RMA) training by March 2007, before going on to undertake the required outstanding elements to also achieve NVQ 4. It was encouraging to note that the deputy manager started her RMA training in August and the assistant manager will commence her NVQ training in January 2007. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 22 Residents’ influence the management and running of the home in a variety of ways as demonstrated throughout the report. However, identified practices and procedures within the report must be reviewed and shortfalls in recordkeeping addressed, to protect residents rights, interests and wellbeing. The home must ensure that it’s stated polices and procedures are adhered to by all staff. Records relating to residents personal monies being held by the home were in good order. The home’s convenor had carried out a full internal audit 3 days before the inspection and was reported as finding no shortfalls. Residents can access their monies at any time. A random selection of safety and maintenance records were viewed and found to be in good order. These included a lift maintenance inspection (1/11/06), PAT (4/10/06) and ‘in house’ monthly fire alarm checks, emergency lighting checks and fire fighting equipment checks. The last fire drill was carried out on 7/5/06. The home is currently collating surveys/questionnaires from residents, families and professions so that an Annual Development Plan can be prepared and be available early in the New Year. Westerley DS0000015484.V317770.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 3 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? There were none outstanding. 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 OP9 Regulation 13 Requirement The registered person(s) must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines in accordance with regulatory requirements. A number of shortfalls were identified and these have been detailed within the body of the report. 2 OP18 13 The registered person(s) must ensure that all staff are adequately trained and assessed as being competent to manage laid down POVA reporting procedures. This is with particular reference to senior staff that take responsibility for shifts. 3 OP27 18 The registered person(s) must ensure that having regard to the size of the home, the statement of purpose and the number and needs of residents that at all times suitable qualified, competent and experienced DS0000015484.V317770.R01.S.doc Timescale for action 17/12/06 17/12/06 17/12/06 Westerley Version 5.2 Page 25 persons are working in the home in such numbers as are appropriate for the health and welfare of residents. Full details are with the report. 4 OP29 19 The registered person(s) must maintain staff recruitment records as required by regulation. Full details are within the report. 5 OP30 18 The registered person(s) must 17/12/06 ensure that all persons employed by the home receive training appropriate to the work they are to perform, including structured induction training. Full details are within the report. 6 OP37 12 & 13 The registered person(s) must review the home’s stated policies and procedures and ensure that they are observed and acted upon by staff for the safety and wellbeing of residents. This includes identified inadequate statutory record keeping, inadequate medication practices and health & safety (COSHH) matters identified. 17/12/06 17/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Westerley Refer to Good Practice Recommendations DS0000015484.V317770.R01.S.doc Version 5.2 Page 26 1 2 Standard OP28 OP33 The registered person(s) should review staff training to ensure that 50 of care staff are trained to NVQ 2 standard. The registered person(s) should develop an Annual Development Plan. Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Westerley DS0000015484.V317770.R01.S.doc Version 5.2 Page 28 - 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. 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