Inspection on 22/01/07 for Preston Towers

This inspection was carried out on 22nd January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Towers 19/11/08

Preston Towers 29/01/08

Preston Towers 15/06/06

Preston Towers 05/01/06

Preston Towers 16/09/05

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Preston Towers Preston Road North Shields Tyne & Wear NE29 9JU Lead Inspector Suzanne McKean Key Unannounced Inspection 22 January 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 Towers DS0000065402.V304970.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 Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Preston Towers Address Preston Road North Shields Tyne & Wear NE29 9JU 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) 0191 259 1828 F/P 0191 259 1828 Moorlands Care Homes (N.E.) Limited Vacant Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (2) of places Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. At any time, three service users can be aged 55 years to 64 years category physical disability (PD) added condition s requested. 15th June 2006 Date of last inspection Brief Description of the Service: Preston Towers is a converted detached building set back from the main road in North Shields. The home is located within walking distance of local amenities. To the front of the building there are extensive lawns and garden areas and ample car parking is provided. The home has retained many original features such as mosaic-tiled floors in the hallway and high ceilings with original covings. Preston Towers is registered to provide personal and nursing care for up to fifty-three older persons. The home charges fees of £361 per week. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection visit and took place over one day and involved one inspector. This is the second key inspection to the home between April 06 and April 07 as a number of issues were found at inspection in June 2006. An unannounced visit was carried out on 27th September 2006 when progress had been made. Two requirements had been met and the remaining ones were adjusted to reflect the current situation. During this site visit four residents care records; staff rota, recruitment/training files plus additional statutory records were examined. There was informal and formal discussion with the new manager, two staff, and three ancillary staff. Twelve residents and two relatives were spoken to at some length during the visit although more residents were spoken to briefly. The inspector spent some time during the lunch period sitting with residents. There were seven outstanding requirements following the last visit and although work had been carried out to address them none have been fully met. There have been no additional requirements made during this inspection. In total there are eight requirements and two recommendations from this inspection. What the service does well: Preston Towers offers a homely environment, which is spacious and well lit. The lounge and dining areas are well decorated and offer the residents a pleasant area to spend their time should they wish to do so. There are a variety of bedrooms sizes and layout and when residents move into the home they are encouraged to bring in items to make them more homely and personalised. Residents are assisted in a courteous and friendly manner throughout the day. The staff also take into account the residents choices and wishes. The food served is wholesome, appealing and nutritionally balanced. A number of the residents were complementary about the meals. The staff are aware of the needs of the residents and are being given training to ensure that they have the skills to care for them safely. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Preston Towers DS0000065402.V304970.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 Preston Towers DS0000065402.V304970.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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are detailed processes for pre admission assessments and liaison with the residents and family prior to any resident being admitted into the home. The care plans contain necessary information to ensure that the home can meet the needs of the prospective resident and the Manager is involved in the decision. The home does not provide intermediate care. EVIDENCE: The care plans contain detailed pre admission assessments. They show that the home liaise with the residents and family prior to admission. The admission information identified the resident’s needs and ensure that the home can meet them. They particularly contain information about equipment required or need to contact specialist advisors to assist them. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 9 The Manager is involved in the decision as to if they can meet the needs of the resident. Residents are invited to visit the home prior to agreeing to move in, however a number rely upon their representatives to view the home on their behalf and advice them on the decision. Two resident spoken to during the visit said that their families had chosen the home. Both said that they were happy with the home as it was as they had expected it to be from the information they had been given. Preston Towers DS0000065402.V304970.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, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and social care needs of service users are being met and the records that support this are in place. Medicines are managed effectively and residents receive their medication safely as prescribed and in line with safe practice guidance. The treatment room still requires some work to bring it up to the necessary standard see standard 19. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Four care plans were examined, they are completed well and contain sufficient information to give the staff the information then need to care safely and effectively for the residents. Assessment tools such as pressure care, Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 11 nutrition, moving and handling, mental health and dependency are completed consistently. Care plans are based on activities of daily living and the needs are identified in the care plans. Residents are supported to make choices in their day-to-day lives through simple but important ways. Examples of this is when they go to bed or get up, how they spend their days and what they eat and drink. Contact with social and health professionals is good and staff were observed liaising with a number of professional visitors throughout the day. Residents have access to GP, Physiotherapist, Speech Therapist and Chiropodist. During the inspection of June 2006 residents were asked about the way staff treated them. They said that they felt that they were treated with respect. This was confirmed in the questionnaires to residents and relatives at that time. During this site visit staff were assisting the residents in an appropriate way and there were pleasant conversations between residents and staff throughout the day. There are policies and procedures available for safe receipt, recording, storage, handling, disposal and administration of medicines. These were being followed. The treatment room and medicine store cupboards were tidy, and organised. Medications receipt administration and disposal are recorded effectively. Medicines for disposal when they are no longer required are removed using a nominated waste management supplier. Controlled Drugs were examined were being recorded effectively. Improvements have been made to the treatment room, however more are necessary to make the room fit for the purpose it is being used for. I needs to be easily cleaned and have work space for the staff to use. These improvements are planned when the new system of administration are introduced. See standard 19. The training of senior care staff to safely administer medicines is now complete. This allows them to administer medicines to those residents not receiving nursing care although this has not been introduced yet. Preston Towers DS0000065402.V304970.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 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s social needs are not being fully met although this has improved since the last inspection. Residents are not given information about what is being offered. The residents are assisted to maintain contact with their family, friends or representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives although some improvement is still needed to ensure that they are able to have stimulating and active lives. Residents receive a wholesome appealing balanced diet in a pleasant atmosphere and are well supported by the staff during meal times. EVIDENCE: The home does now has an activities organiser in post who is now organising activities both on an individual and group basis. She works fifteen hours per Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 13 week and is flexible around the times she is in the home depending upon what is being organised. There are now more activities being offered and the she is getting to know the resident’s likes and dislikes. Two residents were asked about the provision of social activities and they said that “more was going on now”. However the Manager is looking at how this is recorded in the care plans. During the inspection visit some of the residents were playing dominoes, others were sitting watching television or entertaining themselves in their own bedrooms or the lounge areas. The residents do not currently receive up to date information about leisure or social events planned in the home. This is something that the new manager and activities co-ordinator or working on introducing. Commission for Social Care Inspection questionnaires were used at the first key inspection of the year when asked “are there any activities arranged by the home that you can take part in”, one did not wish to take part in any, 2 said there was usually enough, 1 said there always was, 1 said never enough and one said sometimes enough. This suggests that the home should focus on resident choices when planning activities in the home and document the outcomes in the care plans along with the social assessment. Relatives said that they were encouraged to visit and felt welcomed by the staff. The home still does not have the menu displayed very visibly although one was hanging at the entrance and a copy was provided on request. Residents are asked for their choice for lunch and tea daily, which is recorded and given to the kitchen staff. The food being served on the day was enjoyed by the residents who were complementary about it one said, “the food is nice” and the staff “make sure that you can have what you want to eat”. Hot drinks were offered at midmorning, and the residents are given a biscuit, cake or fruit at this time. The staff confirmed that they do have biscuits mid afternoon and sometimes-fresh fruit is available. There was an ample supply of fresh frozen dried and tinned food. Preston Towers DS0000065402.V304970.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 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Complaints are managed satisfactorily and the necessary action taken however the records are not completed in sufficient detail. The residents are protected by using good recruitment and selection processes and by training the staff to recognise and act to minimise the risk of harm to them. The records of complaints and Protection of Vulnerable Adults referrals are kept to ensure that audits can be carried out. EVIDENCE: The service has a complaints procedure that meets the national minimum standards and regulations. The complaints procedure is available within the home. Residents and others understand how to make a complaint. However the records of the complaint investigations undertaken and the outcomes are not in sufficient detail. The policies and procedures regarding protection of residents are satisfactory and are reviewed and updated in line with regulations and other external guidance. Within the policy it is clear when incidents need external input and Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 15 who to refer the incident to. Links with external agencies are satisfactory and include CSCI, police and adult protection teams. All staff are aware of the content of the policy and know what immediate action to take and when and who to refer any incident on to. The outcomes from any referral are satisfactorily managed, with issues resolved. Residents are supported to live as independently as possible, exercising their rights to make choices and decisions with assistance when needed. The home is aware of the need to facilitate advocacy services and makes efforts to access advocacy services on the resident’s behalf. The home facilitates the right for all residents to vote in elections when ever possible. There is currently one ongoing complaint, which is being dealt with by the manager, as it has not yet been resolved. The Registered Manager stated that all staff were aware of the whistle blowing policy and informing the Manager of any incidents or issues of which there are concern. Staff confirmed this. Most of the staff have now received Protection of Vulnerable Adults training and the manager is booked on the “Training for Trainers course” which will result in her being able to deliver in-house training for her staff on an ongoing basis. The Manager is planning to introduce an improved mechanism for recording complaints. She is continuing to use the old recording system and will introduce the new one when she has completed its development. Preston Towers DS0000065402.V304970.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, 24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There has been an improvement to the decoration and maintenance of the building. It is now safe. However although a number of areas have been redecorated and carpets have been replaced there remains a significant amount of outstanding work to be carried out. There are now good communal areas, which are well decorated and equipped, as necessary for the needs of the residents. There are suitable toilets and baths although not all of these are in use. The bedroom areas are personalised and comfortable but the need to replace carpets and some of the bedroom furniture results in a number of them looking shabby. The home is generally clean and odour free and control of infection practices are now good. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home was generally clean, tidy and free from offensive odours. There are two lounges and one dining room on the ground floor. One lounge is a designated smoking area. Upstairs is a lounge with glass roof and residents can choose to have their meals there although this is very hot in the summer and is not used. All communal areas were generally clean and tidy, and the improvement in the decoration in the main lounge and other communal areas has made a significant improvement. The corridor carpets on the first floor are in a poor condition but have not been replaced. The second floor carpet was replaced after the last key inspection and that area has improved as a result. Bedrooms are personalised and are kept clean. However, there is a need for replacement of the majority of the bedroom furniture, which is now worn and damaged. Some of the bedrooms now have new carpets and all of the others now need replacement. This must be undertaken on redecoration of the rooms. An audit of those bedrooms of highest priority has not been completed. Carole Rutter the Communicable Disease Nurse carried out a very detailed and extensive audit, and a full report was provided to the home at the time of the last key inspection. The manager at that time was working toward meeting the identified requirements, and the new manager is to continue the plan. There have been improvements made to the practices in the home. This includes the clinical and domestic practice. Ms Rutter will be revisiting the home in the future to re-audit and Commission will monitor the outcome for Social Care Inspection. The requirement will therefore stay in place until then. There are three sluice rooms in the home two of which now has a disinfector. The staff were seen to be following good prevention of infection practices during the site visit. The care staff were knowledgeable about the practices when asked. Domestic staff are now provided with uniforms in line with control of infection practices. Improvements have been made to the treatment room but have not been completed, as the introduction of a new medicine system by a different pharmacy will result in a change in equipment. Changes are needed to make it fit for purpose. Preston Towers DS0000065402.V304970.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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff on duty that have appropriate skills and experience to care for the residents. The recruitment processes in place protects residents. External and internal training takes place and most of the staff have received adequate training. Training needs and records of updates are unclear. EVIDENCE: Staffing rota and observation during the day indicated that the home is well staffed. During the visit the Manager was on duty and there was a Registered Nurse and five carers on duty (one of which was a senior carer). The home also had on duty a bed maker so that care staff could spend more time with residents. There is now good ancillary support. There are domestic and laundry staff on duty to cover appropriate times of the day. A bed maker is employed to allow care staff to spend more time in caring duties, which works well. There are dedicated laundry staff and although the laundry area is small it was tidy and well organised on the day of the site visit. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 19 Three staff recruitment files, across all grades, were inspected and were satisfactory including application forms, references and CRB checks. There is a system in place to ensure that the qualified nurses are maintaining their NMC registration. The new manager has introduced an induction programme, which was being used on the day of the visit. Training files do not clearly detail what training staff had completed for induction, foundation, mandatory and NVQ training. However examination of the records showed that staff training has been completed for the key areas of practice for example moving and handling and protection of vulnerable adults and fire training. Annual updates of training are due now and there are plans to ensure that they are provided as necessary. Preston Towers DS0000065402.V304970.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 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The is now in post but is not yet registered with the Commission for Social Care Inspection, however she is working toward making the necessary improvements as identified at the last inspection. Quality systems are now in place and being developed further to show that the resident’s needs and wishes are taken into account in the operation of the home. The home is being managed to take into account the health and safety issues. Resident’s financial interests are safeguarded. Staff are not yet appropriately supervised although there is now a system in place to achieve this. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 21 EVIDENCE: Improvements have been made since the last inspection regarding the internal mechanisms for auditing the quality of the service being provided. There are now structures in place to undertake the necessary audits such as the residents and relative’s views, the environment, care practices and care plans and control of infection. The manager has carried out an internal home self assessment and overview audit using a comprehensive manual. The action plan following the audit is being developed. She is using relative questionnaires to assist her in planning improvements. This is in the early stages and will be viewed at the next inspection to assess the progress. Residents personal allowance records were examined and were being completed appropriately. Signatures are recorded for purchases made and there is good recording of their balances with personal accounts in place as necessary. The Manager is not fully up to date with staff supervision although there is now a new procedure in place and the annual programme has begun. Senior staff have been allocated the staff they will responsible for supervising. New staff are now given a mentor and have a one then three month review of their performance to ensure they are suitable for the post they are employed in. The lack of detailed training records makes it very difficult to ensure that adequate training is being provided and that the manager is able to identify the training needs of the staff. Staff meetings are occurring monthly, for which notes are available. They contain relevant information for the staff and give opportunities for them to comment upon issues in the home they are concerned about. Relatives have all been written to individually to inform them of the change of management and a questionnaire was included. The outcomes of these questionnaires are now being analysed. There has also been a resident / relative meeting. Preston Towers DS0000065402.V304970.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 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X 2 X 3 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 2 X 2 X X 2 X 3 Preston Towers DS0000065402.V304970.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 OP14 Regulation 16 (2) n Timescale for action Social activities information must 01/06/07 be given to residents. Care plans must show social needs, choices and activities including how residents have enjoyed them. Outstanding from 15.06.06 The Manager must introduce a more robust mechanism for managing and recording complaints and ensure that all stakeholders can access it. Outstanding from 15.06.06 The home must undertake a refurbishment programme Including: • Suitable dining chairs • The treatment room must be made fit for purpose. Outstanding from 15.06.06 The home must undertake a refurbishment programme Including: • Bedroom furniture • Bedroom carpets (except 4 as identified) Outstanding from 15.06.06 DS0000065402.V304970.R01.S.doc Requirement 2. OP16 22 01/06/07 3. OP19 16, 23 01/09/07 4. OP24 16, 23 01/09/07 Preston Towers Version 5.2 Page 24 5. OP30 18 The training records must be improved to show That staff are receiving adequate statutory and clinical training and to identify the training needs of the staff. Outstanding from 15.06.06 The manager must compete her application to become registered with the Commission for Social Care Inspection. The Registered Manager must put into place a comprehensive quality assurance programmes to ensure that the home is run in the best interest of the residents, taking account of their views. Outstanding from 15.06.06 Staff must receive adequate supervision at the necessary frequency. Outstanding from 15.06.06 01/06/07 6. OP31 9 01/04/07 7. OP33 23 & 24 01/08/07 8. OP36 18 (2) 01/06/07 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 OP19 Good Practice Recommendations It is recommended that the Proprietor look at putting in shading to make the glass roofed lounge on the first floor usable in warm weather. Preston Towers DS0000065402.V304970.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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