Inspection on 23/10/06 for Dudley House Care Home

This inspection was carried out on 23rd October 2006.

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

Dudley House Care Home 10/12/07

Dudley House Care Home 03/07/07

Dudley House Care Home 04/04/06

Dudley House Care Home 23/01/06

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Dudley House Care Home The Grove Isleworth Middlesex TW7 4JF Lead Inspector Mrs Clare Henderson Roe Key Unannounced Inspection 23rd October 2006 10:20 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 Dudley House Care Home DS0000064752.V314301.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. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dudley House Care Home Address The Grove Isleworth Middlesex TW7 4JF 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) 020 8560 9560 020 8568 7082 Dudley House Care Home Ms Lynette Maggs Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40), Physical disability of places over 65 years of age (40), Terminally ill over 65 years of age (1) Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. As agreed on 02/05/2006, one named service user over the age of 65 with Terminal Illness can be accommodated within the home. 4th April 2006 Date of last inspection Brief Description of the Service: Dudley House Nursing Home is a large detached house in Isleworth. There are 38 single bedrooms, 11 of which are en suite, plus one double bedroom. The home has installed a new larger passenger lift. There are three floors in the home and service users accommodation is provided on all three floors. There are also bathroom facilities on all three floors. The home has a lounge/dining area and another small sitting room with access to the rear garden. New offices have been built onto the rear of the building. The home is located nearby to Isleworth train station and is also a short walk from the London Road, which is served by several bus routes. There are shops in Isleworth itself and the home is a short bus ride from Hounslow Town Centre. There were 38 service users accommodated at the home at the time of inspection. The fees range from £530 to £600 per week, depending on assessed need. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out as part of the regulatory process. A total of 13 hours was spent on the inspection process. A tour of the home was carried out, and service user plans, medication records, management records, training records, maintenance and servicing records were viewed. 8 service users, 2 visitors and 6 staff were spoken with as part of the inspection process. This is the second key inspection carried out in this inspection year, and where key standards were met at the last inspection and no issues in relation to these have been raised or noted at this inspection, they have not all been revisited on this occasion. What the service does well: What has improved since the last inspection? What they could do better: The completion of service user plans requires more work to ensure documentation is fully completed, and that the service user plan provides an individual picture of each service users needs and how these are to be met. Whilst it is acknowledged that the management of medications has improved, more work is still required to bring this up to a good standard. The home now has a diverse group of service users and the activities provision needs to be reviewed in order to ensure the social and leisure interests of all service users are catered for. Improved staff knowledge for the management of complaints and POVA, to include Whistle Blowing procedures, is needed. A full environmental audit of the home needs to be carried out and all areas requiring work incorporated into a record of redecoration and refurbishment. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 6 The new laundry facility needs to be fully assessed in line with health & safety legislation and guidance and action taken to address any shortfalls identified. 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. Dudley House Care Home DS0000064752.V314301.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 Dudley House Care Home DS0000064752.V314301.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4. The home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives are provided with the information they need to make an informed choice about the home. Service users are assessed prior to admission to the home, to ascertain that the home is able to meet their needs. EVIDENCE: The Statement of Purpose and Service User Guide were available in all the service users bedrooms. Both documents have been reviewed since the last inspection. Pre-admission assessments were sampled, and those viewed were comprehensive and gave a clear picture of the service users needs. Since the last inspection 6 service users who are younger adults with a physical disability have been admitted to the home due to an emergency situation. Those spoken with said that they had settled well into the home. It Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 9 has been agreed that the service users can remain at the home, and the need to arrange assessments of need via Social Services was discussed with the Registered Manager. If the service users are to remain at the home permanently then it is essential that further work be undertaken to ensure adequate room space to accommodate the specialist equipment required. A variation in respect of service users currently accommodated at the home who have developed dementia has been submitted to CSCI and was discussed with the Responsible Individual at the time of inspection. Dudley House Care Home DS0000064752.V314301.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the service user plans were up to date, however shortfalls in completion could place service users at risk of their needs not being fully met. Medications are being well managed at the home, however some shortfalls need addressing to fully safeguard service users. Staff care for the service users in a gentle and courteous manner, thus respecting their privacy and dignity. EVIDENCE: 4 service user plans were viewed. Overall these were well completed and up to date. There was evidence of monthly reviews and care plan updates whenever a service users condition changes. Some of the care plans viewed were very general in their content, and needed to be personalised to accurately reflect the specific needs of the service user. Personalisation was evident in other care plans viewed. Risk assessments for falls were in place. For a service user who had recently fallen, an entry had been made in the daily record and an accident form completed. However the falls risk assessment and relevant documentation had not yet been updated. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 11 There were no service users with pressure sores. Wound care documentation was seen for one service user, and was to be updated to reflect the fact the area had since healed. Some of the assessment documentation viewed had not been signed and dated. Assessments for continence needs had not always been fully completed, and in one instance the care plan for continence care did not reflect how the service users need was to be managed. Both Inspectors noted that moving & handling care plans did not all identify the specific equipment to be used for each individuals moving & handling needs. Nutritional assessments and care plans identified the need for monthly weights to be carried out, however for 2 service users the weight record stated that the service users could not be weighed, and the care plans need to reflect this. Risk assessments for bedrails had not always been fully completed to clearly identify the reason for and appropriateness of their use, and this is a repeat requirement. The home has a GP who visits each week, and there was evidence of input from other healthcare professionals. One Inspector viewed the medication management in the home. Medications are dated when opened. All staff were now using their full initials when signing for medications. The medication administration record (MAR) charts viewed were up to date and complete. Receipts had been recorded with the exception of one service user who came into the home with a supply of medications and this had not been recorded. The need to record receipts of all medication received into the home was discussed. The registered nurses complete the MAR charts with the prescribed medication and the GP countersigns them at the next visit. Random stock checks were carried out, and in 2 instances the number of tablets signed for plus the number remaining in the packet did not tally with the total supplied. Controlled drugs are well managed and records were clear and up to date. Medications are stored securely in the home, to include medications awaiting disposal. The medications fridge has been moved into the Registered Managers office, but temperature records show that the maximum temperature is still regularly above 8˚ centigrade. This needs to be addressed to ensure medications are being stored at safe temperatures. A medication administration error had occurred and had been investigated and managed appropriately, however it had not been reported to CSCI. The importance of doing so was discussed with the Registered Manager. Staff were seen conversing with and caring for service users in a gentle, courteous and professional manner. Service users spoken with said that they are well cared for at the home and staff are helpful and kind. Service users clothing is individually labelled and service users were appropriately dressed. Dudley House Care Home DS0000064752.V314301.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 14 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are activities provided for service users with a programme in place, however this does not currently meet the needs of all service users. The home has an open visiting policy, thus encouraging service users to maintain contact with family and friends. Information regarding advocacy services is freely available, thus ensuring the service users right to independent representation is respected. EVIDENCE: The home has a part-time activities co-ordinator who was on holiday at the time of inspection. The Registered Manager said that the staff provide some activities in her absence. The need to review the activities provision to ensure there is a full time provision to meet the needs of all the groups of service users accommodated at the home was discussed. Care plans for interests and hobbies were in place, and an effort had been made to personalise these. The home has an open visiting policy and visitors are made welcome at the home. One visitor spoken with had already been invited to attend Christmas lunch with their spouse and to join in the festivities with the home. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 13 Details of advocacy services available are displayed in the main hallway, and are therefore freely available to service users and their representatives. Dudley House Care Home DS0000064752.V314301.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 inspected at least once during a 12 month period. 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. The home has clear complaints procedures in place to address any concerns, however complaints need to be recognised as such in order to ensure they are robustly managed. Systems for protection of vulnerable adults are in place, however shortfalls in staff training and knowledge potentially places service users at risk. EVIDENCE: The home has a complaints procedure, details of which are on display in the home. The Registered Manager had received a letter of concern, which had been appropriately investigated, however, this had not been registered as a complaint. The need to identify and record any complaints under the homes complaints procedure was discussed with the Registered Manager. The home has copies of each of the Hounslow and Ealing Local Authority Safeguarding Adults procedures. The home also has Adult Protection procedure documentation in place. Staff spoken with said that they would report any concerns. Some staff were not clear in respect of Whistle Blowing procedures, and the need to update training in this area was discussed with the Registered Manager. The training matrix provided by the home showed that some staff had received POVA training, and the need to ensure all staff receive this training was also discussed. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Much of the home has been refurbished, overall providing a clean and homely environment for service users to live in. However the lack of an environmental audit and redecoration and refurbishment plan means shortfalls are not being identified and addressed promptly to maintain a safe environment throughout. In some areas systems for infection control are not robust and thus pose a potential risk to service users and staff. EVIDENCE: A tour of the premises was carried out. There was evidence of redecoration and refurbishment in various areas of the home. A record of planned and completed redecoration and refurbishment to include dates of completion had not been formulated and this is a repeat requirement. In some areas where new carpet had been laid on top of the previous flooring it was noted that the carpet was coming away and this could be a trip hazard. This was discussed with the Responsible Individual who said he would address this promptly. A full Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 16 environmental audit must be carried out to identify any areas that require attention and an action plan to address this formulated in conjunction with the redecoration and refurbishment plan. There are assisted bath and shower facilities on each floor and some of the bedrooms have en suites to include shower facilities. The old laundry room has been converted into a shower room, however there is a marked slope at the entrance, plus some of the flooring and fittings need reviewing. The room was marked as out of use at the time of inspection, and a risk assessment in respect of the feasibility of using the facility has since been carried out. In one bathroom the cupboard had no handles and did not close properly. Also, some of the beading had come loose and was quite sharp. This was brought to the attention of the Responsible Individual for prompt attention. Requirements made under Standard 19. Bedrooms viewed were personalised and clean. New furniture to include adjustable beds has been purchased, with more areas to be refurbished in the future. This information still needs to be included in the redecoration and refurbishment plan. Some of the locks on the bedroom doors are not suitable to allow access to staff in an emergency and this was discussed with the Registered Manager and the Responsible Individual. Water temperature records now detail the date on which the checks are carried out. One window frame that had evidence of damage at the last inspection has since been replaced. Since the last inspection the laundry room has been relocated to the cellar. The Responsible Individual reported at the last inspection that the Fire Safety Officer had agreed to this move. The laundry room was cluttered and there was no clear system of laundering in line with infection control. The floor was very uneven and only some sections had flooring, where other areas had bare concrete. An open channel for the drainage of rainwater ran along one side of the area, leading to an open drainage hole. There are two washers and two dryers, all of which are industrial. The boilers for the home are also situated in the same room. The Inspectors had some concerns about the health & safety aspects of the laundry room and have requested that a Health & Safety Officer visit the home to assess this area. Any shortfalls identified must be addressed. Following this inspection the Fire Safety Officer has visited the home and is satisfied that work is being completed to comply with fire safety legislation. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 29 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is appropriately staffed to ensure that the needs of the service users can be met at all times. Systems for vetting and recruitment practices are in place and protect service users. EVIDENCE: The home was appropriately staffed to meet the needs of the service users. The Registered Manager reviews the staffing levels on an ongoing basis to ensure there are enough staff on duty to meet the changing needs of service users. The home was clean and smelled fresh, and domestic, kitchen, maintenance and ancillary staff are employed in such numbers to meet the needs of the home. One Inspector viewed two staff employment files. These contained all the required information in line with Regulation 19, Schedule 2 of the Care Homes Regulations 2001. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has the qualifications and experience to manage the home effectively. Systems for quality assurance are in place, thus providing an ongoing process of review and feedback. Systems for the management of health and safety in the home are good, however shortfalls identified could place people at risk. EVIDENCE: The Registered Manager is a first level registered nurse and since the last inspection she has completed the Registered Managers Award. The Registered Manager has attended recent training in topics relevant to the service users needs. The Responsible Individual reported that Regulation 26 visits had been taking place and that he would forward the reports to CSCI. A summary of service Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 19 users feedback was on display in the main entrance. Service users and representatives meetings are taking place and minutes of these meetings were viewed. Since the last inspection the Responsible Individual has commissioned an independent audit of the home in line with the National Minimum Standards for Older People. The report was viewed and the Responsible Individual and Registered Manager stated that they are taking action to address the shortfalls identified. One Inspector viewed the fire records and these were up to date. Staff were taking part in regular fire drills, and the Registered Manager stated that all staff do internal rotation on day and night duty. Generic risk assessments for safe working practices were in place, with the exception of the new laundry and shower room areas. Risk assessments for these areas have been received by CSCI following the inspection. The Responsible Individual has commissioned an independent health and safety audit. He reported that shortfalls that had been identified in the report of this visit were being addressed. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 X 2 X X 2 3 1 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 17 Requirement Service user plans must be specific to the individual for whom they are being formulated. Risk assessments for falls must be updated following any falls. All service user plan documentation to include assessments must be complete, accurate, up to date, signed and dated. The risk assessments for the use of bedrails must be completed in full and the appropriateness of their use clearly identified. Previous timescale of 01/05/06 not met A record must be made of all medications received into the home. The fridge temperature must be maintained at between 2-8˚ centigrade. Any medication errors must be reported to CSCI by way of a Regulation 37 notification. The activities provision must be reviewed to provide activities for each service user group DS0000064752.V314301.R01.S.doc Timescale for action 01/12/06 2. 3. OP7 OP8 13, 17 17 01/11/06 17/11/06 4. OP8 13(4)(7) 17/11/06 5. 6. 7. 8. OP9 OP9 OP9 OP12 13(2) 13(2) 37 16 23/10/06 17/11/06 23/10/06 17/11/06 Dudley House Care Home Version 5.2 Page 22 9. OP12 16, 18 10. 11. OP16 OP18 22 13(6) 18 12. OP19 13(4) 23(2) 13. OP19 23(2)(b) 14. 15. OP24 OP26 13(4) 13(3)(4) accommodated at the home. A full time activities co-ordinator trained to provide activities for each service user group must be available. The complaints procedure must be followed for any complaints received by the home. Staff must be clear on POVA and Whistle Blowing procedures. POVA training must be provided for all staff. A full environmental audit of the home must be carried out to identify all areas in need of repair, redecoration and refurbishment. A record of planned and completed redecoration and refurbishment to include dates for completion must be available. Previous timescale of 01/06/06 not met All bedroom door locks must be suitable to allow staff access in an emergency. The laundry facility must be fully reviewed in line with health & safety legislation and guidance and action taken to comply fully. 01/12/06 23/10/06 17/11/06 10/11/06 17/11/06 17/11/06 10/11/06 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 OP9 Good Practice Recommendations It is strongly recommended that medication stock checks be carried out regularly to ensure that all medications are being administered correctly. Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: 0845 015 0120 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 Dudley House Care Home DS0000064752.V314301.R01.S.doc Version 5.2 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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