CARE HOMES FOR OLDER PEOPLE
Blackley Premier Care 70 Hill Lane Blackley Manchester M9 6PF Lead Inspector
Ann Connolly Unannounced 17 June 2005 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 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. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Blackley Premier care Address 70 Hill Lane Blackley Manchester M9 6PF 0161 740 8552 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Bankfield Premier Care Limited Responsible Individual - Ms Bernadette Howley Care home only (PC) 18 Category(ies) of Old age, not falling within any other category registration, with number (OP) (18) of places Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 11 January 2005 Brief Description of the Service: Blackley Premier Care is a residential home offering accommodation and personal care for up to 18 residents. Blackley Premier Care is situated in the Blackley area of Manchester close to public transport links into Manchester city centre and Middleton. There are a variety of shops and public houses close by. The home has a paved area to the front. At the rear of the building there is a small garden with a seating area for residents use when the weather is fine. A car park is located at the side and rear of the building. The home is a large detached building. Residents bedroom accommodation is provided on the ground and first floor levels. Access to the first floor is via a passenger lift and stairs. The accommodation is provided in 12 single and 3 double bedrooms. None of the bedrooms have en-suite facilities. All bedrooms are fitted with a washbasin. Accessible toilets and bathrooms are located on the ground and first floors within close proximity to bedrooms and lounges. The home has a large lounge and a separate dining room on the ground floor. In addition there is a conservatory leading off the main lounge.
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 and a half hours on the 17th June 2005. During the inspection, time was spent talking to residents who live at the home, the senior staff, members of staff and visitors to the home to find out their views of the service. Time was also spent looking at medication, the care plan files, health and safety issues and meals. A tour of the building took place. During this inspection only a selection of the key National Minimum Standards were assessed. In order to gain a full picture of how the home meets the needs of residents, this report should be read together with the previous and any future reports. What the service does well: What has improved since the last inspection?
A number of staff have expressed concerns about the lack of activities in the home. One resident said, ‘It would be good to have some entertainment to take the monotony away’. Since the last inspection, the home had appointed an activity co-ordinator. Once this post is established it is hoped that residents will benefit from a regular and consistent activity programme Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 6 What they could do better:
Care plans need to be updated so that staff have enough information to help them to provide the right kind of care for residents in the home. Staff in the home must use the care plans as a tool and refer to the plans to make sure that they are providing the care in the right manner and in a way which suits the individual resident. The home must make sure that residents and their relatives or representatives are involved in care planning and review of care plans so that they are involved in deciding how they want their care needs to be met. Staff in the home would benefit from up to date training on care planning and risk assessments. Supervision with staff should re-in force the good care practice of using care plans as a working tool to help staff in providing care to residents. A further audit of medication is required to ensure that all medication received into the home is properly recorded. This is an important aspect of care and ensures that residents are protected by medication systems in the home. The staff in the home need to ensure that the interests of residents are recorded and should receive up to date information about the activities available. The home must prioritise training in Adult Protection Procedures for all staff so that staff have the confidence and knowledge to deal with any potential situation and are fully aware of policies and procedures in the home designed to protect residents. Some parts of the home required maintenance and re-furbishment in order to provide a pleasant, safe and comfortable living environment for residents in the home. A previous requirement to clean and remove moss from the external patio area had not been done. Failure of the provider to address and take notice of this requirement means that residents will not be able to enjoy pleasant outdoor facilities in the warm summer weather. It is also an indication that the providers have not considered the negative impact this may have on residents in the home, and that it denies them access to use outdoor facilities safely. Further to this a previous requirement to install an extractor fan has not been addresses. The provider needs to be aware of comments made by relatives who have expressed concern that the communal area is often an unpleasant area due to cigarette smoke. The provider needs to ensure that all residents are provided with accommodation which provides a clean, healthy and pleasant environment. All staff files must be updated. Some progress had been made in organising staff files to ensure that all the relevant documentation, references and checks
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 7 had been carried out, however, there were still some files that did not contain a Criminal Record Bureau Disclosure (CRB). These inconsistencies in staff recruitment must be addressed and all staff working at the home and any prospective staff must complete a CRB check prior to commencing employment in order to safeguard the wellbeing of residents in the home. Overall, the needs of the residents were being met by the care staff in the home, however, some shortfalls in filling the rota meant that some duties were being neglected. The home does not have a manager at the present time, and this post must be filled as a matter of urgency as the overall day-to-day management of the home is suffering due to the absence of a manager. One resident said, They can’t get a manager, it’s disgusting, they should have someone in charge’. A relative spoke highly of staff but re-inforced the feelings of the residents. She said that although there was a stable staff team who were responsible, there should be a manager who is accountable and who provides support to the staff. The provider must appoint an acting manager until a new manager has been appointed.- 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. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 9 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 standard(s) 1,2 and 3. Although prospective residents care needs were assessed prior to their admission, information about the home was not readily available to them or existing residents. EVIDENCE: The home had a Statement of Purpose and Service User Guide and although these had been available to residents in previous inspections, there was none to be seen during this inspection. A copy of the Statement of Purpose which had been previously located in the entrance hall of the home had been removed. During discussions with residents it became apparent that they were not familiar with the Service User Guide. One resident recently admitted to the home could not recall being offered any information about the home prior to their admission. Most residents spoken to said that they did not feel they were well informed about how the home was run. All residents spoken to could not recall seeing any inspection report about the home. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 10 The files of four of the residents were examined and all contained the Care Management Assessment and a pre-admission assessment carried out by the staff in the home. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 7,8 and9 The home did not reflect through its care plans the support they provided to meet residents needs, although residents health care needs were being met. However the medication systems and procedures needed to be updated and reviewed to protect the health care needs of the residents. EVIDENCE: There were inconsistencies in the recordings and information contained in the care plans. Some care plans had sufficient details. This included the intervention required to meet the residents care needs. Other care plans lacked important details and did not provide staff with a clear overview of residents needs to help them when delivering care to the individual resident. The care plan of a resident recently admitted to the home was examined. This plan was not complete and did not contain any information about the care needs of the resident. The reviews of residents care needs did not contain sufficient information to show what had been discussed or to show that the resident had been involved in the process. Details of reviews just consisted of a date and tick box to indicate that the review had been carried out. Most of the staff spoken to
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 12 during this inspection said they didn’t refer to the care plan on a day to day basis and were not involved in reviews of care plans. This suggested that the review in its present format was more of a ‘paper’ exercise and contributed very little to involving residents and staff in the process. Although shortfalls were found in the care planning process, it was clear from conversations with staff that they had good practical understanding of residents individual care needs. They were able to explain what care each resident required and seemed to be well informed on the specific care needs of residents in the home. There was a general absence of risk assessment on the files examined. Since the last inspection some improvements had been made in the recording of medication. Records included a recent photograph of each resident and recorded names and signatures of the staff responsible for the administration of medication. Most medication was administered via a monitored dosage system and the Medication Administration Records (MAR) for these were detailed and accurate, with stock levels balancing with the records. However, a number of medications were contained in original packaging. The records for these were less accurate, and inconsistencies were noted in the receipt of medication. Stock levels did not balance with the MAR sheets and it was impossible to carry out an audit trail of this medication. There were records of the disposal of medication, but no records of the receipt of medication. Original prescriptions had not been checked or recorded against the order record. Staff were observed administering medication appropriately, and making correct entries on the MAR sheets. At the time of this inspection the senior member of staff could not find the home’s medication policy. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 12,13 and 15 Social activities were insufficient to meet the expectation and preferences of residents in the home. However residents were encouraged to maintain contact with their relatives and friends who were actively welcomed into the home. Mealtimes in the home were a relaxing, social occasion, and the food served was appealing and well balanced. EVIDENCE: The home had a record of social activities carried out in the home, and there had been a recent staff appointment to the post of activity co-ordinator. This was a relatively new appointment, and it was noted that this role needed to be developed within the home as a number of residents expressed concern over the lack of activities in the home. One resident said, ‘it would be good to have some entertainment to take the monotony away’. The lunchtime meal was a relaxed and social occasion. Table settings were pleasantly presented and set in small group settings. Residents said they were offered a choice of menu and were very complimentary about the quality of the meals served in the home. The meal served during this inspection consisted of a balanced diet and was well presented. Staff were very sensitive and
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 14 courteous in their conversations with residents, and responded positively to any requests. During this inspection there were a number of visitors to the home , and they were well received by the staff. Communication between the staff and visitors was relaxed and informal and it was evident that relatives felt confident in approaching the staff. All resident s spoken to said their friends and relatives were made to feel welcome into the home at any time. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 16 and 18 Policies and procedure were in place to enable concerns to be raised and to protect residents from neglect and abuse although members of staff had not received training in adult protection. Not all residents were as sure of the homes complaints policy but knew who to go to if had any concerns. EVIDENCE: All residents spoken to said they had not seen the complaints policy but said they felt very confident in approaching the staff with any issues of concern. There was a clear and comprehensive complaints policy on display in the reception area of the home. A record of complaints was kept and there had been no complaints received about this service since the last inspection. The home used the Manchester Multi Agency policy for the protection of Vulnerable Adults from Abuse Including the Department of Health Guidance ‘No Secrets’. Staff spoken to were very aware of issues surrounding abuse and the importance of reporting any allegations of abuse, however, most staff spoken to said they had not received any training and were not fully aware of the home’s policy and associated procedures. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 25and 26 Overall the home was clean and tidy and fit for it’s stated purpose although some maintenance work and general re-furbishing was required in order to maintain a safe and comfortable environment for residents. EVIDENCE: There was evidence that the home had undergone some routine maintenance and re-furbishment since the last inspection, however, a number of requirements were still outstanding from the previous inspection. Some bedrooms had been re-decorated and some of the carpets had been re-placed. The pathway outside the side fire escape had been repaired and made even to ensure the safety of residents using this area. The manhole cover to the left hand side of the building presented a tripping hazard as did some of the flags at the front of the building, and action needed to be taken to make these areas safe. The rear external patio area was covered in moss rendering the area extremely slippery underfoot. Action was
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 17 required to clean this area before residents could use the area safely in the forthcoming summer months. The carpet in room 3 was badly stained and needed to be re-placed. The wall near to the fire door in bedroom 3 was badly stained and damp and needed action to repair and make good. There were a number of light bulbs missing throughout the home in particular the lounge area which provided insufficient lighting for residents. Most of the rooms were not fitted with a privacy lock which was capable of being overridden in the event of an emergency. Work was needed to be carried out so that residents in the home can be offered a key to their own room. There were two large lounge/dining areas and a conservatory designated as a smoking area. The smoking area did not provide a healthy environment and the smoke from the conservatory appeared to be affecting the main lounge in the home. This area must be fitted with an extractor fan to improve the environment for residents using this area. Residents had access to all parts of the building through provision of ramps and a passenger lift. The home provided grab rails in toilet areas. The home provided sufficient bathing and toilet facilities. Toilets were located close to communal areas and were clearly marked. The home had an infection control policy and COSHH information was available. The home had a contractor for the disposal of clinical waste. Water temperatures were checked and found to be close to 43 degrees centigrade, however, there was no record available to demonstrate that water temperatures were regularly checked. Most areas of the home were cleaned to a high standards and no unpleasant odours were detected. The kitchen facilities were also cleaned to a high standard. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 Overall the needs of the residents were being met by the care staff in the home, however, some shortfalls in filling the rota meant that some duties were neglected which had the potential to place residents at risk. Furthermore the overall management of staff recruitment and training was not sufficiently robust to ensure that residents would not be placed at risk. EVIDENCE: The staff team in the home at the time of inspection consisted of a senior member of staff and two care staff, one cook and a domestic. The senior member of staff was also responsible for any managerial tasks throughout the day due to the absence of a manager. The senior carer had not been any allocated time to carry out managerial duties. Duties such as audits of the home and its facilities, checking water temperatures, supervision and appraisals of staff checking staff records,were not scheduled into the day-to-day workload, these and other managerial tasks had been neglected. The domestic assistant was only employed Monday to Friday leaving the care staff at weekend responsible for the domestic duties. This rota must be reviewed to ensure that domestic cover is available Monday through to Sunday and the senior staff must be allocated additional time to carry out managerial duties until a new manager is appointed. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 19 A number of staff files were examined and all included two written references, however, Criminal Record Bureau Checks had not been completed for some of the staff, and these must be completed as a matter of urgency. There was evidence of ongoing staff training on files and evidence that some staff were completing NVQ qualifications. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 The absence of a designated home manager had affected the day to day management of the home. EVIDENCE: There has been no manager in post since December 2004. Senior staff have been left with the day to day responsibility of the running of the home and have not been allocated and additional hours to carry out the managerial duties. There has been some support from the area manager, but this has been inconsistent due to sickness. Residents and relatives expressed dissatisfaction with the lack of management support. One resident said, ‘They can’t get a manager, it’s disgusting, they should have someone in charge’. A relative spoke highly of the staff but re-in forced the feelings of the residents. She said that although there was a stable staff team and that they were responsible, there should be a manager who is accountable and who provides support to the staff.
Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 21 Despite a lack of management support the residents in the home spoke highly of the staff. One resident said,’ even though we haven’t got a manager the staff look after us very well’. It was evident during this inspection that the staff team worked very well together and were extremely supportive towards each other. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 x
COMPLAINTS AND PROTECTION 2 2 x x x x 2 x STAFFING Standard No Score 27 2 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 1 x x x x x x x Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 23 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 1 Regulation 4&5 Requirement Prospective and existing resident must have the information they need to make an informed choice about where to live. The Service User Guide and Statement of Purpose must be made available to existing and prospective residents. Care plans and risk assessments must be reviewed to ensure all care needs are identified. Care plans must detail the strategies and interventions required to meet care needs. Staff must receive training on care planning and risk assessments Staff must receive training in the safe handling of medication. All medication must be received, stored, administered and disposed of in accordance with policies and procedures . Residents must receive up to date information about activities available and the home must maintain continuity in providing a varied leisure and activity programme in the home. Staff must receive up dated training in adult protection.
F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Timescale for action 1/8/05 2. 7 15 1/8/05 3. 4. 7 9 18 18 1/9/05 21/8/05 5. 12 16 21/8/05 6. 18 18 1/8/05
Page 24 Blackley Premier Care Version 1.30 7. 8. 36 19 18 23 9. 19 23 10. 11. 12. 13. 14. 19 19 29 27 31 23 23 19 schedule2 18 8 All staff must receive regular supervision. Maintenance work must be undertaken to ensure the safety and comfort of residents in the home. A full audit of the home is required to prioritise a work schedule. Work must include the following: 1) Cleaning and making safe the rear patio area. 2) Make the manhole safe to the front of the building. 3)Assess all carpets in the home and clean and re-place as necessary , to include bedroom three. 4) Repair damp wall in bedroom three. 5) re-place light bulbs in all areas of the home. Privacy locks capable of being overidden in the event of an emergency must be fitted to all bedrooms doors. An extractor fan must be fitted to the smoking room. Records of water temperatures must be maintained. All staff must have a CRB disclosure prior to commencing employment. Staff rotas must include domestic duties over the weekend period. The provider must appoint a manager to the home and designate a temporary acting manager until the post is filled. 1/8/05 21/7/05 1/9/05 1/9/05 21/7/05 21/7/05 21/7/05 21/7/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations
F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 25 Blackley Premier Care Standard 1. No recommendations have been made as a result of this inspection. Blackley Premier Care F55 F05 s21535 Blackley Premier V233913 D170605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 9th Floor, Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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