CARE HOMES FOR OLDER PEOPLE
Blackley Premier Care 70 Hill Lane Blackley Manchester M9 6PF Lead Inspector
Ann Connolly Unannounced Inspection 30th September 2005 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.V254326.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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.V254326.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th June 2005 Brief Description of the Service: Blackley Premier Care is a residential home offering accommodation and personal care for up to 18 service users. 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. Service users’ 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.V254326.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours on the 30th September 2005. During the inspection, time was spent talking to 12 of the 13 residents who live in the home, the senior staff, members of staff, and two visiting professional to find out their views of the service. A discussion took place with the area manager for the home. Time was also spent lexamining medication, the care plan files, health and safety issues and meals. A tour of the building also took place. During this inspection only a selection of the National Minimum Standards were assessed. In order to gain a full picture of how the home meets the needs of the residents, this report should be read together with the previous and any future reports. What the service does well:
The findings of this inspection mirror the findings in the previous inspection visit on17th June 2005. Despite staff failing to refer to care plans as they should, they were able to demonstrate a good understanding of residents care needs. There was evidence of good verbal communication and liaison between staff. The residents in the home spoke highly of the staff and the way in which staff assisted them with personal care and daily living tasks. Twelve of the thirteen residents were spoken to and all of them were complimentary about the staff. Comments included, ‘Staff are very good indeed, if you want anything they will get it for you’, ‘The staff are very nice, they are ready to help you with anything. The girls help me in the morning, they do very well for me’, ‘ Staff are very good, they do what they can for you’. Two visiting professionals were spoken to and both spoke well of staff. They said that the care staff were always co-operative and receptive to any advice they were offered. All residents said they enjoyed the meals served in the home and confirmed that they were offered a choice. Meals were well presented and mealtimes appeared to be a relaxed and social occasion. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better:
The absence of a full time manager is of great concern. Staff are not in receipt of regular supervision. The senior staff have been left to continue with their care duties and the additional managerial duties without sufficient support. The registered person must allocate additional hours for staff to carry out the managerial tasks, or provide a temporary acting manager until the manager post is filled, to provide supervision and support to the staff team. Residents in the home continue to express concern about the absence of a manager, one resident said,’ There should be a manager’, another said, ‘I can’t make it out why they don’t have a manager yet. We should have one’. The staffing rota needs to be reviewed to include domestic cover over the weekend, which would enable carers to focus on their caring duties and provide appropriate levels of care to residents in the home. Some progress had been made in developing care plans, however, they need to be updated to reflect any changes in care needs and accurate report writing must be included in the care plans. The home must make sure that residents and their relatives or representatives are involved in the 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 training in how to develop care plans and risk assessments. The home must prioritise training in Adult Protection Procedures for staff so that staff are equipped with the confidence and knowledge to deal with any potential situation and are fully aware of policies and procedures designed to protect residents. A full audit of medication is required to ensure that all medication received into the home is properly recorded and to ensure systems are in place to protect residents. In the recent recruitment of staff policies and procedures designed to protect residents in the home had not been adhered to. Some staff files did not contain a Criminal Record Bureau Disclosure. All staff files must be updated and no staff appointments must be made until Criminal Record Bureau checks are completed. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 7 The Service User Guide and Statement of purpose must be updated to reflect the changes in staffing and management and to ensure that all existing and prospective residents are provided with accurate information about the service. Social activities were insufficient to meet the expectations and preferences of residents in the home. 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. In order to promote privacy and dignity for residents, all bedrooms should be fitted with a lock which is capable of being overridden in the event of an emergency. This would enable residents to have a key to their own room if they so wished. Health and safety policies and procedures need to be updated to ensure that the health , safety and welfare of residents and staff are promoted and protected. 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.V254326.R01.S.doc Version 5.0 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.V254326.R01.S.doc Version 5.0 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 Existing and prospective residents were not provided with sufficient information about the home to enable them to make an informed choice about their care arrangements. EVIDENCE: The core standards were inspected on the last inspection. The home had a statement of purpose and a service user guide, but these documents were not readily available to new and existing residents. This was a similar finding to the last report when a requirement was made for the home to make these documents available to all residents. Provision of these documents would help prospective residents to decide about their future care arrangements and give them useful information about the home. The documents must include recent copies of the inspection reports which will provide residents, their visitors and families and staff in the home an overview on how the home is performing and whether or not it is meeting the National Minimum Standards. These guides must be updated to reflect the changes in the service, and up to date factual information about the staff in the home.
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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): 7,9 and 10 There were inconsistencies in the content of care plans and absence of information detailing care needs and interventions to meet needs. Medication systems and procedures were not fully 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 some work had been undertaken to improve care plans in the home and there was evidence that reviews were being carried out on a regular and consistent basis. However, inconsistencies were evident in the quality of recordings, and some of the care plans did not provide staff with sufficient detail or an overview of residents needs to help when delivering care to the individual resident. A number of the daily recordings in which the health care needs of residents were monitored were lacking in detail. Recordings consisted of numerous generalised comments stating, ‘settled day’. It was evident from discussion with staff that they had a good practical understanding of individual care needs of the residents in the home. The staff were able to
Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 11 explain what care each resident required and seemed to be well informed on the specific care needs of residents in the home. However, it was evident that some of the staff did not use the care plan on a daily basis as a working tool to help them when providing care. Care workers seemed to rely on verbally transferring information. This mirrors the findings on the previous inspection when most staff confirmed that they were not involved in the reviews of residents care needs/ care plans. Some important recordings about residents care needs had been written in a general diary and had not been transferred into the care plan notes, or used to update changes in care needs. All recordings about residents must be integrated into the care plan and used to update information and change care plans where this is required. There was an absence of risk assessments on some of the care plans examined. Some improvements had been made in the recording of medication, however, there were shortfalls in the general systems for the handling of medication. Prescribed cream was found in a bedroom, and did not belong to the person occupying the room. The cream was left open and was not locked away. Most medication was administered using a monitored dosage system. A number of the Medication Administration Records (MAR) were inaccurate where medication had been administered and not signed for. Some of the stock levels did not balance with the MAR sheets. There were records of the disposal of medication, but no records for the receipt of medication received into the home. A requirement was made for the registered person to arrange a full audit of all medication stock levels, and medication systems in the home. During this inspection visit the staff were observed treating residents with respect. Twelve of the thirteen residents were spoken to and all of them commented on the professional approach of the staff. One resident said, ‘The staff here are quite nice, you only need to ask them and they will do what they can for you’. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 and 15. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, however, social activities were insufficient to meet the expectations and preferences of residents in the home. Mealtimes in the home were a relaxing and social occasion and the food served was appealing and well balanced. EVIDENCE: Routines in the home were flexible and designed to reflect individual needs and preferences. Residents spoken to confirmed that they were encouraged to have visitors and to pursue any interests. One resident helped out with cleaning and sweeping around the home and it was evident that the staff fully supported her in her wish to remain independent and contribute to helping around the home. A number of residents spoken to confirmed that there was a lack of activities available in the home. They said that staff did their best to arrange some of the activities, but that there was no continuity and consistency in providing activities, and it depended how many staff were on duty. During the last inspection the inspector had been informed that there had been a recent staff appointment to the post of activity co-ordinator. However, this post had not been filled. As a result, the residents continue to experience long periods when
Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 13 there are no opportunities for social stimulation. The provider has not addressed comments made by residents in the previous inspection report when residents reported that they would like to have access to more activities, ‘it would be good to have some entertainment to take the monotony away’. During this inspection, almost every resident spoken to said they would like some activities to be made available. 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 extremely complementary about the quality of the meals served in the home. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Policies and procedures were in place to enable concerns to be raised and to protect residents from neglect and abuse, however, staff were not fully trainied in adult protection policies and procedures. EVIDENCE: All residents spoken to said they had not seen the complaints policy, but said they felt confident in approaching the staff with any issues of concern. One resident said ,’If there is anything I don’t like I tell the staff and they sort it’. There was a clear and comprehensive complaints policy on display in the reception area of the home. The Commission for Social care Inspection have received one complaint about this service. The issues raised included lack of care planning for one resident, and failure to provide appropriate care and support. Some aspects of the complaint were upheld, and a number of the issues were as a result of poor recording systems and lack of managerial support and direction. These have been addressed in detail in standard 7 and standard 31 of this report. The home used the Manchester Multi Agency Policy for The Protection of Vulnerable Adults from Abuse including the Department of Health Guidance ‘No Secrets’. The findings from the previous inspection are reiterated in this report as it was found that although staff were very aware of issues surrounding abuse and the importance of reporting any allegation of abuse, most staff spoken to said they had not received any training and were not fully aware of the home’s policy and associated procedures.
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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): 19,20,25 and 26 Overall the home was clean and tidy and fit for it’s stated purpose. The home provided residents with a comfortable environment which was generally well maintained. Some general checks on health and safety issues were needed to ensure that all parts of the home were safe for residents. EVIDENCE: A recent programme of building work had been carried out to provide residents with a safe and comfortable environment.There was evidence that the home had addressed a number of the requirements from the previous inspection. A number of bedrooms had been re-decorated and carpets and flooring had been replaced in some of the bedrooms. Bedroom three had been redecorated, but there were still outstanding damp problems which must be addressed and made good. The rear patio area had been steam cleaned to remove the moss and the slippery surface. This area had been potted out with a colourful floral display and provided a safe pleasant environment for residents.
Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 17 A number of the bedrooms were not fitted with a privacy lock capable of being overridden in the event of an emergency. This work 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 area 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. A requirement was made in the last inspection report to fit an extractor fan to improve the environment for residents using this area. The requirement is repeated in this report. Residents had access to all parts of the building through the provision of ramps and a passenger lift. The home provided grab rails in toilet areas and sufficient bathing and toilet facilities were conveniently located throughout the building. The home had an infection control policy and COSHH information was available. The home had a contractor for the disposal of clinical waste. Water temperature was checked and found to be close to 43 degrees centigrade. A requirement from the previous inspection report to maintain written records of water temperature checks is repeated in this report. Most areas of the home were cleaned to a high standard and no unpleasant odours were detected. The kitchen facilities had been recently redecorated and was also found to be cleaned to a high standard. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Overall, the needs of the residents were being met by the care staff in the home, however, there was insufficient staff cover to ensure that all recording and administrative tasks were completed. The overall management of staff recruitment and training was not sufficiently robust to ensure that residents would not be placed at risk. EVIDENCE: The findings of the previous inspection are repeated in this report. 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 area manager was present as part of her responsibility to provide on going support. The senior member of staff was also responsible for the managerial tasks through the day due to the absence of a manager, however, she had not been provided with any additional allocated time to carry out these duties. As a result, a number of managerial tasks in the home were being neglected, and potentially placed residents at risk. The domestic was only employed Monday to Friday, leaving the care staff to carry out any domestic duties at weekend. The afternoon care staff time had been reduced to two carers due to an increase in bed vacancies. Staff were experiencing difficulty in managing all caring duties with this skeleton staff. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 19 Concerns were expressed that a number of the residents were highly dependent and needed the help of two staff to support them with their care. This leaves no member of staff available to respond to the needs of other residents. Assessed care staff hours must not be used to carry out domestic duties. It is recommended that an additional staff member is employed to carry out domestic duties over the weekend. Temporary arrangements must be put in place to provide care staff with additional hours or increased support from the area manager until a manager is appointed. The home had appointed two members of staff prior to receiving a Criminal Record Bureau Check or POVA first. The recruitment process for new staff must be improved and the home must not employ any member of staff until a POVA first or an enhanced CRB disclosure is received. If staff are employed with a POVA first, they must be supervised at all times until the full enhanced disclosure is received. The registered provider must provide the Commission with confirmation that all staff in post have a current CRB disclosure in place. Staff spoken to said that they had not received regular supervision or been given opportunity for personal development. One member of staff said she felt she would benefit from supervision and training opportunities enabling he r to develop her skills and improve the way in which she works. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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 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 There is no leadership and management in the home. Support for staff is insufficient and essential managerial tasks are not being carried out potentially placing residents and staff at risk. EVIDENCE: The findings from the previous inspection are repeated in this report. There has been no manager in post since December 2004. Senior staff have been left with the day to day responsibility of running the home, without the necessary time or supervision or support. On the last inspection relatives and residents expressed dissatisfaction with the lack of management cover, residents repeated this during this visit. One resident said, ‘I can’t believe that they can’t get a manager.’ Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 21 Despite the absence of a manager, the staff team appeared to work well together and supported each other. Residents consistently praised staff and gave very positive feedback about the way in which staff provided support and care. The registered person must appoint a suitable manager and provide additional support to staff in the home until a suitable candidate for the post is found. Health and Safety Policies and procedures were in place but had not been updated, and were not organised into a user friendly system for staff to use as a working tool. Fire risk assessments did not cover all areas of the home and needed updating.Service contracts were in place for lifts, gas and fire equipment, but no checks had been carried out on the water systems in the home. All health and safety policies and procedures must be audited and updated appropriately. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 3 x x x x 2 3 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 1 x x x x x x 2 Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 23 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 1 Regulation 4&5 Requirement Prospective and existing residents must be provided with the information they need to make an informed choice about their care arrangements. The Service User Guide, Statement of Purpose and the latest inspection reports must be made available to existing and prospective residents. These documents must be updated. (previous timescale of 1/8/05 not met). Care plans and risk assessments must be reviewed to ensure all care needs are identified. Care plans must be detail the strategies and interventions required to meet care needs as detailed in the main body of the report.(Previous timescale 1/8/05 not met). Staff must receive training on care planning and risk assessments. (Previous timescale of 1/9/05 not met). Timescale for action 21/10/05 2 7 15 21/10/05 3 7 18 21/11/05 Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 Page 24 4 9 13 5 12 18 6 18 18 7 8 19 19 23 23 9 10 19 29 23 19 11 27 18 A full audit of all medication and systems in place to ensure the safe handling of medication in the home must be carried out. Staff responsible for the administering of medication and must receive updated training. (Previous timescale 21/8/05 not met). Residents must be consulted on their preferences for leisure activities and the home must maintain continuity in providing a varied leisure and activity programme in the home.(Previous timescale of 21/8/05 not met). Staff must receive up dated training in adult protection policies and procedures. (Previous timescale of 1/8/05not met ) Repair the damp wall in bedroom 3 Privacy locks capable of being overridden in the event of an emergency must be fitted to all rooms. (Previous timescale of 1/9/05 not met). Records of water temperatures must be maintained. (Previous timescale of 21/7/05 not met). All staff must have a CRB disclosure prior to commencing employment. Evidence that all staff have CRB disclosures must be provided to the Commission.(Previous timescale 21/7/05 not met). Assessed care staff hours must not be used to carry out domestic duties. 21/10/05 15/11/05 15/11/05 21/10/05 21/11/05 21/10/05 21/07/05 21/10/05 12 31 8 The registered person must
DS0000021535.V254326.R01.S.doc 21/10/05
Version 5.0 Page 25 Blackley Premier Care 13 36 18 appoint a manager to the home and designate a temporary acting manage or provide managerial support for the staff until the post is filled. (Previous timescale of 21/7/05 not met.) All staff must receive regular supervision. 15/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 27 Good Practice Recommendations It is recommended that deployment of domestic staff cover a seven day period. Blackley Premier Care DS0000021535.V254326.R01.S.doc Version 5.0 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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