CARE HOMES FOR OLDER PEOPLE
Blackley Premier Care 70 Hill Lane Blackley Manchester M9 6PF Lead Inspector
Ann Connolly Key Unannounced Inspection 23rd May 2006 10:00 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 Blackley Premier Care DS0000021535.V296552.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. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Blackley Premier Care Address 70 Hill Lane Blackley Manchester M9 6PF 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) 0161 740 8552 Bankfield Premier Care Limited Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 30th September 2005 Brief Description of the Service: Blackley Premier Care is a residential home offering accommodation and personal care for up to 18 people. 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 nearby. 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 service users’ use when the weather is fine. A car park is located at the side and the rear of the building. The home is a large detached building. Residents’ bedroom accommodation is provided on the ground and first floors. Access to the first floor is via a passenger lift and stairs. The accommodation is provided in 12 single rooms and 3 double rooms. 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 DS0000021535.V296552.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 23rd may 2006. At the time of the inspection there were sixteen residents in the home. During the inspection time was spent talking to fifteen of the sixteen residents, the manager, one of the area managers and the staff team. Time was also spent talking to relatives visiting the home. The manager was newly appointed to the home on the 21 April 2006, and in the short time she had been there, she had carried out audits of key areas of care practice, for example, medication procedures, and she had listed and prioritised areas of practice which needed to be focused on. These included medication, care planning, staff support and supervision, and health and safety in the home. It was evident from discussion with the manager that she had the full support of the area manager and the registered providers. The registered providers demonstrated their commitment to developing the service by providing the manager with appropriate support and by developing an action plan for the maintenance and renewal of the fabric of the building. Staff in the home continue to be committed to the residents and to their own personal development. During this inspection time was spent examining medication, care plan files, resident finances, safety issues and meals. A tour of the building also took place. During this inspection all the key standards were inspected. What the service does well:
The staff in this home continue to provide continuity by supporting residents in a way in which they prefer. They continue to demonstrate a good understanding of the care needs of the residents in the home. Residents continue to speak highly of staff in the home. One resident said, “ Staff are very nice, they chat to you and we chat back, they make friends with you”. Another resident said, “ It’s so very good here, staff are very good, I have nothing but praise for the staff, they’ll do anything for you”. Other comments included, “ You can talk to any of the staff, you are not afraid to ask, they are all very kind”. Comments like the latter were consistent throughout this inspection, and observations of staff talking to residents provided evidence of a caring and supportive staff team who were responsive to the needs of the individual residents in the home. Residents spoke highly of the meals served in the home, residents said, “ the meals are very nice, there’s a choice of what to eat. Today we can have Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 6 chicken sausage or beef burgers.” Most residents spoken to made similar comments about the food and confirmed that they were offered a choice. It was evident from discussions with residents that they felt confident in approaching the manager and the staff with any issues of concern. One resident said, “We have got a new manager, she’s nice and talks to us about most things. I would see the manager if I had a worry”. Another resident said, “Staff are very good, I can talk to them if I have a worry, and the new manager is making a difference, she’s moved the seating so we can see the T.V.”. What has improved since the last inspection?
The major improvement noted during this inspection was the appointment of a manager. The manager was only recently appointed, but in the short time she had been in post she had prioritised key areas to improve practices in the home. All residents spoken to said they were very pleased that a manager had been appointed. What was noticeable was that most residents were aware of the new manager and all of them said that the manager had engaged in conversations with them to ask their views about the home. One resident said, We’ve got a new manager, she’s very nice, nice to speak to, she listens to you”. One of the relatives visiting the home said she was really happy that a manager had been appointed. She went on to say that she felt the staff team would benefit from having the support of a manager, and added that she thought he staff in the home were very committed. Staff spoken to were also very positive about having the support of a manager. Staff spoken to confirmed that they were having supervision. One member of staff said, “ its a lot better with a manager. We are getting the support now, and the manager is focussing on training. The good thing about this home is that the staff stay”. Another staff member said, “ We feel much more supported and organised, much more training is coming up. We have had supervision and staff meetings.” The registered provider has demonstrated a commitment to supporting the manager and improving the physical standards in the home. There was evidence of ongoing decorating and re-furbishment throughout the home. New carpets had been provided in bedrooms and communal areas, and considerable attention had been given to providing pleasant outdoor seating areas for residents to enjoy in the warmer months. One resident said, “Lots of changes here, its all being decorated. The lounge was painted last night. Wev’e got a new manager to help the staff. Things are getting better now.” The home looked bright fresh and tastefully decorated providing a pleasant environment for residents and their relatives. The manager was developing systems in the home to support staff and to organise training to equip them with the skills they need to meet the needs of
Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 7 residents in the home. The manager had also carried out medication audits in the home to ensure that correct practices were adhered to by all staff. 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. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 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 the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Existing and prospective residents were provide with updated information about the home, to assist them in making informed decisions about their care needs. A full assessment of care needs was undertaken prior to arranging the admission of a resident into the home. EVIDENCE: Since the last inspection a new manager had been appointed to the home. Changes in management and in the staffing structure had been updated in the Statement of Purpose and Service User Guide, copies of which were available in the main entrance reception area of the home. The manager said that she intended to include the latest inspection reports in these documents in order to provide additional informative information for residents and their relatives. There was evidence that the home had carried out a pre- admission assessment of care needs prior to arranging the admission of a resident into the home. The file of a resident recently admitted into the home included the
Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 10 social services multidisciplinary assessments and the home’s own assessment of needs. Information contained in these documents provided staff with information to assist them in developing an individual care plan to help staff to support residents appropriately. This home does not provide intermediate care facilities. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans were inconsistent in their content and did not provided details of intervention and support to meet the needs of residents in the home. Medication systems and procedures were not adhered to which may potentially place residents at risk. Residents were treated with respect and their right to privacy was upheld. EVIDENCE: Since the last inspection a new manager had been appointed to the home. Through discussion with the manager it was evident that priority had been given to developing key aspects of care practice in the home, and care planning was one of them. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 12 Prior to the appointment of the new manager, and despite not having regular managerial guidance, staff had been able to maintain adequate standards of recording in care plans. A number of shortfalls remain in the care planning process as some files did not evidence clear directions on how individual needs should be met. In the file of a resident recently admitted to the home, the information from the multidisciplinary assessment and the home’s own summary of assessed needs, had not been transferred onto the current care plans. As a result, it was impossible to determine how the resident wanted her care needs to be met. The manager and the staff acknowledged the shortfalls in the care plans, but there was clear evidence that the manager had undertaken a methodical programme of reviewing all care plans to bring them up to date. From discussion with the manager it was evident that she recognised the existing skills of staff, and had acknowledged their hard work in trying to maintain a good standard in writing and developing the care plans. There was evidence that supervision and 1:1 sessions with staff were focused on helping the staff to develop their skills in care planning and in encouraging staff to use the care plans as a working tool to identify needs and plan support to meet these needs. Through case tracking and discussions with staff it was evident that staff had a good knowledge and understanding of residents care needs. Residents who were spoken to said they were happy in the way staff supported them. Staff were observed treating residents with respect using sensitive and appropriate intervention at all times. Since the new manager has been in post she has prioritised the handling of medication as one of the key areas which require improving. Documentation was available to evidence that the manager carries out a weekly audit of the medication stock levels and records. The manager has arranged for all staff to be updated in medication practices and a summary of basic instructions on handling medication has been provided to all staff to re-in force procedures and good practice. Although there was evidence that significant improvements had taken place since the last inspection, there were still shortfalls with medication stock levels and recordings on the Medication Administration Records (MAR). Some of the loose medication stock did not balance with the MAR sheets indicating that medication had been signed for and not administered. Some of the MAR sheets did not record the receipt and disposal of medication. There was no list of specimen signatures of the staff responsible for the administration of medication which could present problems for the manager when carrying out an audit trail to monitor the administration of medication in the home. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 13 The manager must continue to audit and monitor medication procedures in the home and provide training, guidance and supervision to staff to ensure that competency levels in the administration of medication is maintained and to ensure the ongoing health safety and well being of the residents in the home. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, maintain contact with family and friends and to participate in leisure activities. Mealtimes were a relaxed and social occasion with menus providing appealing well presented and nutritionally balanced meals. EVIDENCE: Routines in the home were flexible and designed to reflect individual needs and choices. Residents who were spoken to confirmed that they were encouraged to have visitors and to pursue their interests. One resident who had been helping around the home with sweeping and cleaning continues to do so and is fully supported by staff to maintain this interest. It was noted that residents went in and out of their rooms throughout the day, providing further evidence of flexible arrangements where residents were supported to maintain their own lifestyle and to enjoy the freedom, independence and the privacy of their own room. Visitors who were spoken to said they were always made to feel very welcome by staff.
Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 15 During the previous inspection, some of the residents had expressed concern about the lack of activities in the home. This was another area of care practice that has been prioritised by the new manager. The new activities programme was available for inspection and included film nights, bingo, skittles, and there were plans to encourage outdoor activities e.g. barbeques. Meals served during the inspection were of a high standard. The meal sampled at the time of inspection was well presented, nutritionally balanced meal. Residents who were spoken to expressed satisfaction about the meals served in the home and confirmed that a choice of meals were available. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 16 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Polices and procedures were in place to enable concerns to be raised and to protect residents from neglect and abuse, however, some staff were not fully trained in adult protection procedures and this could potentially place residents at risk. EVIDENCE: All residents spoken to said they felt confident in approaching the staff with any issues of concern. Since the last inspection the Commission for Social Care Inspection have not received any complaints about this service. The home has not received any recent complaints, however, there is a detailed comprehensive policy for residents and their relatives which provides them with information on how to make a complaint. The home have a record book to record any complaints made to the home which provides Proforma to detail the nature of the complaint , and investigation, and details of the outcome of the investigation. The home use the Manchester Adult Protection Policies for the Protection of Vulnerable Adults from Abuse and the Department of Health’s Guidance ‘No Secrets’. From discussions with staff it was evident that they were very aware
Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 17 of issues surrounding abuse and the seriousness of any allegation, and the importance of reporting any allegation of abuse. Most of the staff had not received any formal training in Adult Protection and were not fully informed on the home’s policies and procedures. However, it was noted that this was another area which the manager had prioritised ad a key area for staff development in order to improve care practices in the home. The manager stated that she intended to get all staff enrolled onto formal training in Adult Protection within the next two months. As an interim measure the manager said that she was using staff supervision 1:1 sessions to reinforce good practice in adult protection issues. All staff had been given the appropriate policies to read and there was evidence on staff files that staff knowledge had been tested by a series of questions covering key point in Adult Protection Procedures. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 18 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean and tidy and fit for its stated purpose, providing residents with a comfortable environment which was maintained to a good standard. EVIDENCE: Since the last inspection the registered provider had arranged for considerable maintenance work to be carried out in the home. A number of communal areas and bedrooms had been re-decorated providing a fresh, homely environment for residents in the home. All bedrooms had been fitted with privacy locks capable of being overridden in the event of an emergency offering residents the choice of having a key to their own room.
Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 19 The lounge area was in the process of being decorated at the time of this inspection. New curtains and carpets had been fitted in bedrooms and communal areas and the manager stated that all carpets in communal areas and corridors were scheduled for re-placement by the end of August. The manager had prepared a schedule of work and improvement for the home listing all the items for re-placement. Plans provided evidence that eight new chairs were ordered, new occasional furniture on order and a variety of occasional furniture and fitting e.g. bedside table lamps. The manager stated that all bathrooms were scheduled for a re-fit. Damp was still evident in room 2, and the manager confirmed that this work had been scheduled for completion this month. The work that had been carried out in the home to date, and the plans and schedules for ongoing improvement provides evidence that the provider is committed to improving the service to provide a safe and well maintained environment for the residents living in the home. The residents who were spoken to during this inspection expressed delight at all the improvement work that had been carried out to date. The garden patio area had be cleaned and planted out with pots and flowers in preparation for the warmer weather providing a pleasant outdoor facilities for residents to enjoy. The conservatory is the designated smoking area, and an extractor fan needs to be fitted to ensure a comfortable environment for people wishing to use this area. The manager confirmed that a fan had been ordered and would be fitted in the next week or so. Residents had access to all parts of the building through the provision of ramps and passenger lift. The home provided grab rails in toilet areas and toilet and bathing facilities were located throughout the building providing easy access for residents. All areas of the home were cleaned to a high standard and no unpleasant odours were detected. The kitchen facilities were also found to be cleaned to a high standard. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 20 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. Overall the home had good recruitment policies and practices in place to ensure the safety and well being of residents in the home, however, failure to follow these policies and failure to obtain Criminal Record Bureau checks on all staff could potentially place residents at risk. Staff training has been made a priority. EVIDENCE: Staff files were examined and although some files contained appropriate checks and references to ensure that staff were suitable to work in the home, there were a number where references were missing and a number of files did not evidence that Criminal Record Bureau checks had been carried out. The manager who is newly appointed to the home and had only been in post for three weeks at the time of this inspection was aware of this shortfall and had prioritised an audit of the files. The manager must prioritise this aspect of her work and ensure that all staff working in the home have a satisfactory Criminal Record Bureau check on file. There was evidence that staff had been provided with the opportunity to access training and development opportunities, and that they were in receipt of ongoing supervision and support from the manager. Blackley Premier Care DS0000021535.V296552.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 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 ensured that the interest and safety of residents in the home was protected. EVIDENCE: Since the last inspection a new manager had been appointed to the home. The manager had over nine years in working in the care sector seven of these have been in a senior position including two years experience as a deputy manager. The manager has completed NVQ Lvels two and three and has almost completed the NVQ Level four Registered Manager Award. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 22 Since her appointment it was evident from documentation and discussion with the manager that she had prioritised key areas of care practice in the home. It was evident that she had developed a clear strategy for moving the service forward which included developing training plans for staff and providing ongoing supervision and support for staff. Since taking up appointment the manager had completed audits on medication and was in the process of auditing care plans and staff files. Health and safety was another area which had been prioritised and a weekly health and safety check list had been compiled for staff encouraging them to take some ownership for health and safety around the home. Since the last inspection the home were maintaining regular record and checks on water temperatures throughout the home. Finances were examined. Records and receipts of transactions were maintained and monies kept for residents balanced with record sheets. Blackley Premier Care DS0000021535.V296552.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 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Care plans must identify individual needs and include information on how staff need to support residents. Medication needs to be audited and the handling of medication must comply with the home’s polices and procedures and good practice. All staff must receive training in Adult Protection Procedures. All staff files must be audited and all staff must have a CRB check in place. The Registered Provider must submit an application to register a Manager with the CSCI. Timescale for action 01/07/06 2 OP9 13 01/07/06 3 4 5 OP18 OP29 OP31 13 19 8 01/08/06 01/07/06 15/07/06 Blackley Premier Care DS0000021535.V296552.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 OP30 Good Practice Recommendations The home must develop a training plan for staff and demonstrate how staff will be supported to access NVQ training ensuring that at least 50 of staff are qualified to this level. Blackley Premier Care DS0000021535.V296552.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 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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