Inspection on 04/09/07 for Preston Glades Care Home

This inspection was carried out on 4th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Preston Glades Care Home 01/10/08

Preston Glades Care Home 09/03/07

Preston Glades Care Home 24/04/06

Preston Glades Care Home 19/12/05

Preston Glades Care Home 04/08/05

Preston Glades Care Home 23/02/05

Preston Glades Care Home 24/05/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Preston Glades Care Home Miller Road Preston Lancashire PR2 6NH Lead Inspector Phil McConnell Unannounced Inspection 4th September 2007 09:30 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 Preston Glades Care Home DS0000006072.V344105.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. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Preston Glades Care Home Address Miller Road Preston Lancashire PR2 6NH 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) 01772 651484 01772 651514 Preston.glades@fshc.co.uk Four Seasons Healthcare (England) Limited (Wholly owned subsidiary of Four Seasons Health Care Ltd) Mr Alasdair Swan. Care Home 65 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (34) of places Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Registered Person must employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 65 service users to include: Up to 31 service users in the category of DE (Dementia) Up to 34 service users in the category of OP (Old Age over 65 years) Registered numbers to include one (1) named person under 65 years of age 9th March 2007. Date of last inspection Brief Description of the Service: Four Seasons Health Care owns Preston Glades Nursing Home. The Home is registered with the Commission for Social Care Inspection to provide nursing and personal care to elderly people of both sexes over the age of 65 years. This comprises of 33 service users with dementia and 31 service users with old age in need of nursing and residential care. Preston Glades is a purpose built two-storey building and care is provided in two areas of the home for the two categories of service user. Those needing care regarding dementia are cared for on the first floor of the home, and those needing nursing and personal care on the ground floor of the home. There are 62 single bedrooms of which 16 have en suite facilities and 1 double room. There is a passenger lift to each floor of the home. The home is situated in its own grounds and there is an enclosed garden area at the rear of the home with a pleasant sitting area. There are parking areas available at the side and front of the home. Preston Glades is located in a residential area of Preston and is close to local shops and amenities. It is situated on a bus route into Preston town centre. The present rate of charging is between £374 and £500. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager and an unannounced inspection visit to the service on the 4th of September 2007, which was carried out by 2 inspectors, with the inspection lasting approximately 7 hrs. The manager Mr Alasdair Swan was available during the inspection visit. There was a Random Inspection visit on the 1st August 2007 and some of the findings from that visit are included in this Key Inspection Report. During the visit to the home 5 service users’ files were examined, including the most recent person to go and live at Preston Glades and discussions took place with some of the service users throughout the day. All of the files were well organised with all relevant documentation being in place. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Five staff files were also examined, including the last person to be employed at Preston Glades, with all documentation being found correct. Throughout the visit there was the opportunity to have conversations with other staff members, including some of the staff in the dementia unit, one of the homes cooks and one of the recently appointed activities coordinators. All of the feedback from these discussions was quite positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: The organisations policies and procedures are of a good quality. The pre admission assessment process is thorough and concise, helping to give the assurance that peoples ‘needs’ will be clearly identified. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 6 Service users’ care plans contain sufficient, detailed and appropriate information. The staff team have continued to provide a good level of care under some challenging circumstances. Service users continue to be complimentary about the care they receive at the home. What has improved since the last inspection? What they could do better: To speed up the redecoration programme, so that all areas of the home will benefit in a shorter space of time. Replace the bedroom furnishings, including bed linen and the carpets throughout the home. (See environment section). The organisation needs to be more proactive with the delivery of the national vocational qualification (NVQ). (See staffing section) Provide personal alcohol gel to all staff to help prevent cross infection. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 7 Implement individual personal financial accounts for s/users instead of the corporate account now in place. The manager to apply for management registration with the commission (CSCI) ASAP. Consistently provide regulation 26 monthly visit reports to the commission. 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. Preston Glades Care Home DS0000006072.V344105.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 Preston Glades Care Home DS0000006072.V344105.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 N/A Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Preston Glades has a thorough and comprehensive pre admission process in place, including detailed assessment documentation, helping to ensure that peoples’ needs are accurately identified and provided for. EVIDENCE: Preston Glades admission policy and procedures were examined and they were found to be thorough and up to date. Five of the service users’ files were examined including the last two people to be admitted to Preston Glades. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 10 The home uses a generic ‘pre-admission assessment form / Care planning tool’. This assessment document is very comprehensive and incorporates a daily life skills form including, communication, nutrition and hydration, mobility, personal hygiene, physical health, memory and comprehension, sleep patterns and each section includes an assessment of the persons’ mental health and well-being. There is also a section referring to ‘consent and capacity’ and asks if the person has, “the capacity to consent and is able to make informed choices and decisions relating to care?” Peoples’ files also contained Social Services initial core assessments, which had been completed by a social worker. The annual quality assurance assessment (AQAA) states, “All prospective service users’ needs are fully assessed to ensure that staff are familiar with their needs and that the home is able to meet their needs prior to their admission”. A statement of purpose was available in the reception area of the home. It was also observed that copies of service users guides were placed in each person’s bedroom. Preston Glades Care Home DS0000006072.V344105.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are thoroughly detailed, with specific health care needs clearly identified. It is evident that peoples’ assessed needs are met, with people being treated with respect and dignity. EVIDENCE: Four service users’ care plans were examined and they were found to be welldetailed and up to date with evidence that they are regularly (monthly) reviewed and containing relevant information with guidance on how to provide individuals’ care and nursing needs. People’s files contained a photograph of the person, helping to avoid any confusion, particularly for new staff. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 12 It was evident that care plans were developed from the initial assessment and there were individual risk assessments in place including assessments for, continence, pain, falls and nutritional assessment. The risk assessments are reviewed on a monthly basis and adjusted if needed. There was also some evidence to indicate that some family members had been involved in the completion of care plans. Individual information was available with regard to service users’ specific health needs including, a diabetes plan, which clearly showed how to respond to high or low sugars, nutritional and weights recording, which monitored any improvement or deterioration of the person. There was evidence available to demonstrate that other professionals have had some involvement in individuals’ health care needs, for example, district nurses, dietician, diabetic nurse, physiotherapist and a palliative care nurse. There was also evidence that, hospital appointments, GP’s visits and other treatments and consultations with other health professionals had been carried out, helping to demonstrate that people’s health care needs are monitored and treated correctly when necessary. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Records were examined to ensure that all medicines received and administered were maintained. Medicines were securely stored, with provision being made for the correct storage of controlled drugs. Only trained staff administer medication, with ‘Boots’ providing the medication to the home. There was evidence of the home management carrying out medication audit checks and it was commented that a regular audit had been requested from Boots. The medicine administration records (MAR) were observed and found to be accurate with medication being correctly administered. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with people responding positively and it was evident that good relationships existed between the service users and the care staff. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. There are appropriate, recreational and leisure activities available, demonstrating that people are positively motivated and stimulated. EVIDENCE: The previous report highlighted the limitation of activities available in the home, however since then 2 people have been specifically recruited to organise and provide various activities. During the inspection visit it was apparent that there are now a number of stimulating activities available in both of the units. One member of staff said, “The new activities coordinator has made a big difference on the Dementia unit” and then explained about some of the activities that people get involved in including, art and crafts, films, old Preston reminiscence and various appropriate games. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 14 The AQAA states, “The activities programme is in its early stages, staff have recently been recruited and the programme will be further developed” and the manager said, “We plan to increase available hours for activities”. There was a list of activities and events displayed in the home and there were photographs of recent birthday parties and photographs of a visit from Sir Tom Finney. On the day of the inspection visit it was a service users birthday and the staff were helping her to celebrate the day. During the afternoon one of the activities coordinators was on duty and a number of things were taking place including, a sing-along with appropriate familiar music, a reminiscence/memory game and cake and wine were provided for the birthday party. There was a really good atmosphere and it was apparent that people were enjoying and getting stimulation from the events taking place. There is an open house policy at the home and some visitors were observed visiting their relatives in their own rooms. During the inspection it was observed that there was a good rapport between staff and visitors. It was observed during a tour of the premises that people had brought into the home some of their own personal belongings, helping to demonstrate people’s own choices and individuality. Preston Glades now employs two cooks and this appears to be working quite well. Since the last inspection the home has introduced new alternative menus and some of the comments from service users regarding the meals were, “meals are now much better” and “there is more variety now”. In discussion with one of the cooks it was commented, “We have a new fridge freezer, new crockery, (previously odd colours and designs) tea and coffee pots and a new food blender (previous recommendations from CSCI) has been ordered” This helps to demonstrate that the provider is gradually improving and updating the equipment and apparatus, in order to improve the standards. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory policies and procedures are in place, helping to demonstrate that vulnerable people are protected and safeguarded from abuse. EVIDENCE: A comprehensive complaints policy and procedures were in place regarding the safeguarding and protection of vulnerable adults. The last Key Inspection highlighted that the procedure for dealing with any complaint was not being correctly adhered to. It appears that this has now been adequately addressed. The complaints procedure is prominently displayed in the home, with complaints leaflets and information readily available in the reception area. No complaints have been received since the last inspection. The training matrix showed that there has been an increase in the provision of ‘Safeguarding Adults’ training made available to staff, helping to demonstrate that vulnerable are being protected as much as possible from harm or abuse. Preston Glades Care Home DS0000006072.V344105.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 poor. This judgement has been made using available evidence including a visit to this service. The environmental standards remain unsatisfactory, however it does appear that the areas of concern are gradually being addressed. EVIDENCE: Both inspectors conducted a tour of the premises and it was apparent that there is redecoration-rolling programme in place, with some areas of the building having been redecorated. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 17 On the day of the inspection visit there were still some areas of the home that were not of a satisfactory standard. These included badly stained carpets and specific bedrooms and bathrooms needing complete redecoration. Some very strong unpleasant odours were present around the home. Some of the bedroom furniture was badly damaged and some of the curtains were too short for the windows. Some radiator covers were rusted and a number of dimmer switch covers were missing. Two toilets were found to be leaking and some areas of the home were in need of cleaning, for example the small kitchen on the first floor and some of the ventilation covers in the bathrooms. All of these items were discussed with the manager at the end of the inspection visit. The AQAA stated, “The garden areas are to be developed and improved to enable better access and use by residents”. It was observed that work has already commenced with the garden improvements. It is clear that the provider is now more proactive in addressing some of the environmentally poor standards that have been present for some time. This will benefit everyone who lives and works at Preston Glades. Preston Glades Care Home DS0000006072.V344105.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. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. EVIDENCE: Preston Glades staffing levels were examined and they were found to be adequate and satisfactory. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. There is now a thorough recruitment process in place, with staff files containing evidence that Criminal Record Bureau (CRB) checks had been carried out and staff are only employed on the satisfactory completion of these checks with two independent satisfactory references being obtained (this was a previous requirement). Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 19 The AQAA stated, “Recruitment procedures safeguarding the residents are scrupulously adhered to” This helps to demonstrate that vulnerable people are protected and safeguarded, by having a robust recruitment process. Staff files contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory-induction programme being in place. There is an updated and much improved training matrix in place, which clearly shows that staff training is now a priority. Training needs are identified at peoples’ supervisions and some of the recent training being provided included, health and safety, first aid, infection control, food hygiene and (COSHH) control of substances hazardous to health. The ‘national vocational qualification’ (NVQ) for staff is still not meeting the required percentage of 50 at the present time it stands at approximately 30 . This was discussed with the manager and an assurance was given that this training will be provided as soon as possible. Some of the staff commented that the training is now much better, since the new manager came into post. As already mentioned in this report, the organisation is actively addressing the issues and concerns that have been raised in previous reports. Preston Glades Care Home DS0000006072.V344105.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. The home is well managed and organised, ensuring as much as possible that service users are safe and receive a good quality service EVIDENCE: The manager has many years of experience in the care profession and has been the manager at the Preston Glades since July 2007. He is adequately qualified and is in the process of applying for management registration with the commission for social care inspection (CSCI). Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 21 He has already made some positive changes in his short time at Preston Glades. He has had the main responsibility for addressing the previous identified issues and concerns and it would appear that he is very competent and professional. In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Some of the comments were, “He’s like a breath of fresh air” “you can approach him and he is easy to talk to” “the manager has an open door policy” and “the manager is very approachable and things are much better now”. The home’s policies and procedures were examined and they were found to be of a good quality and up to date, with most of them having been reviewed within the last twelve months. As already mentioned there was documented evidence to show that staff have received mandatory training, including: moving and handling, protection of vulnerable adults (POVA), the control of substances hazardous to health (COSHH) and infection control. The manager has implemented a supervision programme, a new training matrix, which as already mentioned is concise and thorough, service users monthly meetings and regular staff meetings. Memo notices were also observed, demonstrating good practice matters including, staff not to travel to and fro from the home in their uniforms, because of potential cross infection and also gives a poor impression of the home, no entry to the kitchen for non kitchen staff at certain times of the day and information for staff meetings. There is still a corporate bank account for service users’ personal finances. It is recommended that the organisation seriously consider having individual accounts for people. This would help ensure that peoples’ individual finances are safeguarded. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. All inspection certificates were in place and up to date, including: gas safety certificate, electric check certificate, fire extinguisher checks, PAT portable appliance testing, lift inspection test, hoists inspections and an emergency lighting certificate. Preston Glades Care Home DS0000006072.V344105.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 1 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 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 OP19 Regulation 23 Requirement The environmental standards must be improved. (Previous timescales not adequately met). 2. 3. OP19 OP26 23 (2) (d) 12 (1) (a) The home must be kept clean and reasonably decorated. The registered person must ensure that the health and welfare of service users is promoted and adequately provided. Ensure that NVQ in care is provided to existing staff and a consistent training programme is actively provided for new staff. 30/11/07 30/11/07 Timescale for action 30/11/07 4. OP30 18 (1) (a) (i) 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 24 No. 1. 2 Refer to Standard OP35 OP31 Good Practice Recommendations Efforts should be made for service users to have individual bank accounts. The manager needs to apply for registration with CSCI. Preston Glades Care Home DS0000006072.V344105.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Preston Glades Care Home DS0000006072.V344105.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. 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