Inspection on 31/05/07 for Blackley Premier Care

This inspection was carried out on 31st May 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Blackley Premier Care 23/05/06

Blackley Premier Care 30/09/05

Blackley Premier Care 17/06/05

Blackley Premier Care 11/01/05

Blackley Premier Care 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Blackley Premier Care 70 Hill Lane Blackley Manchester M9 6PF Lead Inspector Joe Kenny Unannounced Inspection 31st May 2007 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.V339528.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.V339528.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 Anne Mellish Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 18 service users to include: *Up to 18 service users in the category of OP (Old age not falling within any other category). 5th March 2007 Date of last inspection Brief Description of the Service: Blackley Premier Care is a residential home offering accommodation and personal care for up to 18 older people. Blackley Premier Care is situated in the Blackley area of Manchester close to public transport links into Manchester City Centre and Middleton, off Victoria Avenue and Rochdale Road. 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 people to access, weather permitting. A car park is located at the side and the rear of the building. The home is a large detached building. 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.V339528.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 31 May 2007. There were sixteen people in the home and one person in hospital at the time of the visit. The inspection involved discussions with the manager and staff working at the home, informal discussions with people living in the home and a brief conversation with a relative. A completed AQAA supplied by the home was received prior to the visit and comment cards were left for nine named people asking for comments on a variety of aspects of life in the home. Nine completed comment cards were returned to the Commission’s area office. A series of records were examined in relation to care planning, medication, health and safety and staff files. Procedures relating to dealing with concerns, abuse and finances protected people. A tour of the building was also undertaken. This inspection included assessment of all the key national minimum standards. The fees for the home ranged from £373.54 to £385.00 per week. What the service does well: What has improved since the last inspection? Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 6 The manager had taken appropriate steps to address requirements made at the last inspection which was carried out as a Random inspection. Relatives commented on improvements in the management of the home by the manager and staff spoke about improvements in support and training programmes, which supported their development. There was an evident commitment to maintaining high standards in cleanliness and décor of the home. This was evident in the rolling programme of refurbishment being carried out. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 3. Standard 6 not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with information to assist them in making informed decisions about moving to the home. EVIDENCE: The home’s statement of purpose had been revised to reflect current staffing structure at the home. A copy of the statement is available to people considering moving to the home and copies of recent inspections carried out by the Commission are located in the foyer for people to read. The home uses its own pre admission assessment form to gather information about the care needs of people considering moving to the home. This assessment is conducted by the manager or her deputy. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 9 The records for the two people most recently admitted to the home indicated they had been offered the opportunity to visit prior to their move. On admission people are provided with a contract of the terms of their placement. Discussions were held in relation to a person recently admitted who is self funded. The person had been provided with a contract, however this required some amendments and had not been signed by the person or by their representative. The address of the home was not on the contract. The contract referred to compliance to Care Homes Standard Act 2002 and should read the Care Standards Act 2000. Files contained copies of the placing authorities’ assessment of care needs and the home’s assessment. This information is used to set out a plan of support. People using the comment cards confirmed they had been offered the opportunity to view the home prior to moving there and in most cases a relative visited on their behalf. One person did, however, comment that they had not been provided with information about the home. One person commented ‘ I am happy here’. This home does not provide intermediate care. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people are assessed and inform staff of the level of support required. Medication procedures required monitoring to ensure people were not placed at risk. EVIDENCE: A selection of people’s files were randomly selected and examined. The files contained information about people’s care needs, how needs should be met and a statement as to the intended outcome for the individual. The homes assessment document continued to be in a ‘tick box’ format with a brief comment section. The manager was advised to enlarge the comment section in order to encourage extended narratives under each heading being assessed. 18 different headings are assessed on the current forms. Plans contained health-tracking forms such as weight charts and blood charts for diabetics. The manager was advised to ensue all care plans are dated to assist in the monitoring of the effectiveness of support offered. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 11 Most people responding through comment cards stated that staff listened to them and acted upon what they said and spent time with them to seek their views about the support they required. The home had taken appropriate action to ensure information and warning signs were located on the bedroom door where oxygen cylinders are in use. This information had also been added to the home’s fire risk assessment. The manager had taken appropriate steps to ensure information is confidential and not held in a communal format to address a requirement made on the previous site visit. Records also held evidence that a monthly review of care plans are conducted. Medication administration procedures had been reviewed and a blister pack system was now being used. Six staff are responsible for administration procedures which includes the manager and deputy manager. All prescriptions are received and checked by the home prior to forwarding to the pharmacist. Records relating to medication and controlled medication were found to be in order with exception to the following comments: The quantity section of the medication administration record was not been completed and in some cases the balance brought forward from the previous month was not recorded. The manager was advised to develop a clearer record of sample signatures of staff who administer medication. Current information is on a sample Medication Administration Records (MAR) and is not very clear. Medication records continued to evidence gaps in the use of signatures and in some cases a signature when medication had not been administered. This required addressing and use of appropriate codes when not administered. It was also evident that some staff were dispensing out of sequence from blister packs. The manager must audit and monitor medication procedures and provide training, guidance and supervision to staff to ensure ongoing health, safety and wellbeing of people. A new operations manager had been appointed. Discussions were ongoing with her and the manager in relation to a complete review of the care plan format and introduction of a new recording procedure. The manager stated the introduction of a new system would also assist in a complete review of people’s needs. Daily records were found to be well maintained. The records evidenced an entry on each day in the morning, evening and night. This enabled the home to evidence a clear account of the support offered to people. Risk assessments addressed issues such as dietary and mobility issues. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily living and social arrangements ensure the choices and preferences of people are respected; people maintain control over their lives and participate in planned social and leisure activities. EVIDENCE: A high percentage of people living at the home are registered with Ring and Ride and had recently attended a local venue for a meal. This venture was apparently very successful and further trips are planned. It was very encouraging to note one person who had a keen interest in maintaining the grounds was encouraged and supported by staff to continue pursuing their interest. People confirmed that they could choose when they got up and when they went to bed. Staff confirmed that some people choose to remain up late watching television. Staff stated that time is set aside for them to interact and chat with people and to organise activities of interest to people. Social evenings are organised and Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 13 entertainers come in occasionally. The grounds to the rear offer a secure area for people to access. Garden furniture had been purchased to offer people a place to sit out, weather permitting. This area can be accessed from the lounge by a fixed ramp for easy access to wheelchair users. People using comment cards indicated they enjoyed the activities and commented about trips to Stockport and a local restaurant. During discussions with staff they stated the trip to the local restaurant had been very successful. People accessing the event used Ring and Ride and it was planned to hold this event again. The home does not place any restrictions on visiting times and visitors are made to feel welcome. This was evident during this site visit. Time was spent in discussion with the cook. There was ample evidence of choices offered to people at mealtime and the cook goes out and meets people in the morning to discuss their preferences for the midday and evening meal. The menu plan also recorded information such as specialist dietary and health issues. People spoken to said they enjoyed the meals and that they were offered choices on a daily basis. People responding through the comment cards stated the food is good, they enjoyed their meals and one commented ‘I always clear my plate’. Fresh fruit and vegetables are purchased weekly and bread and milk is purchased daily. The cook stated that fly screens had been ordered for the door and windows in the kitchen and would be delivered and fitted shortly. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Procedures were in place to ensure concerns of people are addressed and that people were protected from neglect or abuse. EVIDENCE: The homes complaints procedure required amending to record the current address of the Commission’s area office. The home maintains a register of complaints it has received. No complaints had been received in the period since the last inspection. The Commission in the same period had received no complaints. People using the comment cards confirmed they knew who to speak to if they had a concern and named their key worker, a relative or the manager as the person they would speak to. The manager stated that people living in the home have regular visits by family and this enables the home to maintain good communication links with family. Staff attended training in abuse awareness provided by an independent training company. Staff had access to Manchester Adult Protection Policies for the Protection of Vulnerable Adults from Abuse. However, in discussions about dealing with an allegation of abuse, staff were unclear that it is the local authority’s responsibility to initiate any investigation. Further training must be Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 15 provided to ensure staff have a full understanding of the procedures to be followed. Staff demonstrated understanding of the various forms of abuse, seriousness of any allegation and importance of reporting any allegation. All staff had been given the local authority guidelines to read and had signed a tracking sheet to confirm they had read the policy. All staff had also been provided with the opportunity to read the organisation’s policy on whistle blowing. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 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, homely and well maintained. EVIDENCE: The grounds are well maintained and offer parking space and a secure area for people to access. A designated area offers facilities for people to sit out (weather permitting) and can be accessed from the lounge and conservatory. Ramped access is provided to this area. The interior was found to be clean and well maintained. The manager provided evidence of a rolling programme of maintenance and refurbishment. A significant amount of work had been carried out, in terms of decorating and replacing carpet and further developments were planned for the future. A significant piece of work to be carried out related to damp course treatment in one double bedroom (bedroom 3) and redecorating of the room following this Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 17 work. The manager was taking appropriate steps to minimise disruption to the people accommodated in the room whilst this work was being carried out. This work was due to start three weeks following this inspection. The door to the attic space should be kept locked at all times to prevent access by residents. One bathroom is being decorated and retiled. This facility must be locked during this process, as some exposed electric wiring is located in the room. The manager stated this would be addressed immediately. Communal areas are spacious and offer people pleasant areas to come together. These areas were bright, homely and suitably furnished and carpeted. Carpets had been replaced on corridors and in the main entrance. Bedrooms were suitably furnished and fitted with appropriate privacy locks. People were offered the opportunity to have a key to their bedrooms. There were suitable aids and adaptations, including ramps, providing easy access for people living in the home. The kitchen facilities were also found to be clean, suitably equipped for all food preparation and cooking procedures. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment, selection and staff development procedures ensure the safety and well being of people living in the home. EVIDENCE: The manager holds the necessary qualifications and experience to manage the home. The manager has completed NVQ Level IV and the Registered Managers Award. A selection of staff files was examined with specific reference to staff recently recruited. The manager had taken appropriate steps to ensure staff recruited since her appointment had completed all aspects of the organisation’s recruitment and selection process. The manager had a completed list of staff employed and record of their Criminal Record Bureau checks. Staff at the organisation’s head office conduct these checks and signed confirmation that such checks have been carried out is provided to the manager. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 19 The manager demonstrated a commitment to providing staff with comprehensive training and development opportunities and staff confirmed this during informal discussions. Programmes of supervision are well established and evidence of supervision notes are retained on their files. Nighttime arrangements ensure two staff are on waking duty. Night staff maintain and complete records during the night hours and specific Nightly Care plans where required to evidence care and support on issues such as pressure care. A new weekend cook had been appointed and would start work in the week following this inspection visit. Records were available in relation to staff meetings; a seniors staff meeting was cancelled as it coincided with this unannounced site visit. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and administration procedures ensure the home is run in the best interest of people living there. EVIDENCE: Procedures relating to fire had been reviewed and the manager had consulted with local fire officers on evacuation, fire zone and fire risk assessment procedures. Appropriate action had been taken to ensure the fire safety assessment included use and location of oxygen cylinders for one person being supported. A revised fire zone plan was to be positioned next to the display panel. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 21 Regular tests and checks are carried out on the fire system in terms of fire sounders, routes of evacuation and checks on emergency lighting. The activating of the fire sounder on a weekly basis is also used as a fire drill. The manager is advised to differentiate between a fire sounding test and a periodic unannounced fire drill. The manager was also advised to ask staff attending fire drills to sign the register confirming their attendance. Records were examined in relation to Health and Safety checks and maintenance of equipment such as vertical lift (serviced on the 15 May 2007) and fire extinguishers. Appropriate certificates were in place relating to insurance liability and regular monitoring and audits on hot water temperatures were being conducted. Training information indicated 70 of the staff team had completed Health and Safety training. Financial procedures relating to management of people’s money were in order when checked against records. The majority of people are supported by their family. Records and valuables managed by the home were held securely and managed appropriately. It was encouraging to note in the home’s completed self-assessment form that the manager had identified areas for improvement and strategies to address these improvements. Regular internal inspection visits are conducted by the organisation’s Operation Manager and copies are held in the home. The manager has conducted quality audit questionnaires to people living in the home and will extend this survey to professionals accessing the home this year. A summary statement is compiled from the findings of the survey. Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 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 3 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 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.V339528.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP2 Regulation 5 Requirement Statements of terms and conditions and contracts must reflect the placement arrangements. Medication procedures be monitored and audited to ensure the ongoing health, safety and well being of people. Staff must be provided with training in the safe administration of medication. Training must be provided on adult protection procedures to ensure staff have a full understanding of the procedures to be followed. Timescale for action 26/07/07 2 OP9 13 26/07/07 3 4 OP9 13 13 (6) 26/07/07 26/07/07 OP18 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 DS0000021535.V339528.R01.S.doc Version 5.2 Page 24 Blackley Premier Care 1 2 Standard OP7 OP7 The manager was advised to enlarge the comment section on care plan records in order to encourage extended narratives under each heading. The manager was advised to ensue all care plans are dated to assist in the monitoring of the effectiveness of support offered. It is recommended that the door leading to the attic space is kept locked at all times to prevent access by residents. The manager is advised to differentiate between a fire sounding test and a periodic unannounced fire drill. The manager was also advised to ask staff attending fire drills to sign the register confirming their attendance. 3 4 OP19 OP31 Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Blackley Premier Care DS0000021535.V339528.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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