Inspection on 06/01/06 for Glendale Lodge Residental Care Home

This inspection was carried out on 6th January 2006.

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

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

Other inspections for this house

Glendale Lodge Residental Care... 13/03/07

Glendale Lodge Residental Care... 06/09/05

Glendale Lodge Residental Care... 17/01/05

Glendale Lodge Residental Care... 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Glendale Lodge Residental Care Home Glen Road Kingsdown Deal Kent CT14 8BS Lead Inspector June Davies Unannounced Inspection 6th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Glendale Lodge Residental Care Home Address Glen Road Kingsdown Deal Kent CT14 8BS 01304 363449 01304 363449 glendalelodge@yahoo.co.uk 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) Extrafriend Limited Mrs Carole Lesley McNamara Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User DE(E) whose date of birth is 13/03/1925. Date of last inspection 6th September 2005 Brief Description of the Service: Glendale Lodge is a purpose built residential care home, registered for twentyfive older people over the age of 65. The property has 23 single bedrooms and one double bedroom. Fifteen bedrooms have en suite facilities. Twentytwo bedrooms are situated on the ground floor, with one single and one double bedroom on the first floor. A staircase with chair lift in situ accesses the first floor. On the ground floor there are three communal lounge areas, which provide pleasant surroundings to relax and eat in. The home is situated in the village of Kingsdown, Deal; the village bus stop is a short walk away. The home also has impressive rural views. The gardens of the home are well maintained and attractive, and there are ample parking facilities at the front of Glendale Lodge. The home is owned by Extrafriend Limited and is managed on a daily basis by Mrs Carole McNamara, with the assistance of a deputy manager; an administrator and a further twenty-two care staff, who work on a rota basis. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection taking place over a period of five hours. The inspector was able to speak with ten residents and the staff on duty. Documentation in the form of care plans, staff personnel files, duty rotas, training matrix, policies and procedures were also examined. The inspector was able to walk freely around the home, to observe the environment and staff working with the clients. What the service does well: What has improved since the last inspection? What they could do better: The registered manager is continuously looking for ways in which she can improve the service to the clients who live in the home. The inspector did note that while the home is kept clean and free from odours, some attention Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 6 needs to be paid to cross infection detail, ensuring that all waste bins have lids in place. 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. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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 Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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, 2, 3, and 5 Prospective clients are able to make an informed choice about moving into the home based on the information made available to them. Prior to taking up residence the registered manager ensures that she carries out a holistic needs assessment, and encourages the prospective client to visit the home. Clients are given clear information about living in home through the contract/terms and conditions that are issued when taking up residence in the home. EVIDENCE: The inspector viewed the recently reviewed Statement of Purpose and Service User guide, which now gives more detailed information in regard to the fire evacuation procedure in the home. These documents were also seen to meet the National Minimum Standards, and contained information required in The Care Homes Regulations 2001 Schedules 1 and 4. The client contract/terms and conditions is issued as soon as a client takes up residence in Glendale Lodge, and contains comprehensive information especially in regard to the number of the room the client will occupy, who will be responsible for paying the fee, and what charges are made to client over Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 9 and above the monthly fee, such as newspapers, hairdressing, toiletries, clothing etc. The client, their representative and senior member of staff, signs this contract/terms and conditions. The registered manager always carries out a full needs assessment for any new prospective client, and where a client is being funded by a local authority will ensure that she receives and up to date assessment from the care manager. Pre-admission assessments are available at the back of each clients care plan. The registered manager always rings the prospective clients G.P. to ensure that the medical evidence she has is up to date and correct. During the inspection the inspector witnessed a prospective client visiting the home, being shown round communal areas, and meeting other clients living in the home. Permanent clients stated to the inspector that they had been given the opportunity to look around the home prior to taking up residence. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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, 10, 11 Care staff have access to comprehensive care plans for each client in the home. The registered manager and staff have good working relationships with multi disciplinary agencies. The care staff treat clients in the home with respect, and ensure that each client’s privacy and dignity is upheld. The home has good policies and procedures in regard to care for terminally ill clients, and are able to call on external health care professionals for assistance when required. EVIDENCE: Client’s pre-admission assessments are used to as a basis to their individual care plan. Some of the client’s spoken to by the inspector stated that they are aware of their care plans, and that they are regularly reviewed, and that the client is requested to sign any changes that may occur in regard to their risk assessments, and plan of care at the time of review. Two clients spoke at length regarding their access to health care services, for example that they were able to see their G.P. as and when requested, that they were able to visit opticians, regularly see the chiropodist who visits the home, and have access to the district nurses who visit the home. One client said that the home had experienced problems finding someone who would do exercise sessions. This Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 11 client was interested in gentle armchair exercise and she said that staff had helped her to find appropriate music from her CD collection and that she hoped that she could get other clients in the home interested in doing exercises to this music. The inspector noted that the next chiropody visit was recorded on the main notice board in the home. All ten clients spoken to said that the staff were very kind, and that staff respected the privacy and dignity, especially when delivering personal care to them. The clients said that they were able to see their G.P. in their own bedrooms, and that they were able to have visitors in the privacy of their own bedrooms if they wished. The inspector witnessed members of care staff addressing the clients by their preferred name. The registered manager has ensured that all the clients living in the home have their wishes concerning terminal care and arrangements at death recorded on their care plans. The inspector spoke to one relative who stated that the registered manager and care staff had done all they possibly could to ensure that their belated relative had received the highest possible standard of care during their terminal illness. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The home offers a good programme of activities, and links with the community are good, which supports and enriches the clients’ social opportunities. Clients are given every opportunity to retain independence and autonomy of their own lives. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: On the day of the visit the inspector witnessed a volunteer running a bingo session with the clients. Other activities on offer in the home are art and craft, beautician, hairdressing, fashions shows, board games, informal discussion groups. The inspector spoke to three clients who stated they were not interested in being involved in activities, but knew they could join in if they wished to. All the clients spoken to said that food in the home was of an excellent standard, and they had never had a meal in the home, which they did not like, they stated that they were able to have a choice of meals. Some of the clients are able to make trips outside the home unaided, and have risk assessments in care plans. The home has three groups of visiting musicians/singers, who visit the home monthly. Clients are also able to visit the local theatre as and when they wish to. The home employs two volunteers, both of whom have the appropriate CRB checks. The home has an up to date visiting policy, and visitors are welcome in the home at any time. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 13 The ten clients who spoke to the inspector stated that they were given choice, in their daily lives, at mealtimes and in regard to rising and retiring. Some of the comments the inspector received were: - “nothing is too much trouble for the staff”, “staff have a good sense of humour”, “the staff take very good care of us”, “you could not wish to live in a better home”, “the staff are very kind”, “the staff take all the care they can to meet our needs”. The inspector witnessed during a tour of the building that each client had been able to personalise their bedroom, with possessions from their own homes, e.g. small items of furniture, pictures, ornaments etc. Every client stated that the meals in the home were very good. Clients are able to have a choice when and where they have their meal. On the day of the visit the inspector witnessed one client having a leisurely breakfast at 10.00 a.m. This client confirmed that he was able to have breakfast at this time every morning if he wished, he also said that he could have his breakfast in his own bedroom, but on most occasions chose to use the dining area. Clients are offered a choice at each mealtime, and the inspector witnessed that clients are offered hot/cold drinks and snacks between meals. The home is able to cater for specialised diets as and when required. None of the clients in the home have their meals liquidised at the present time. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 The clients in the home know their complaints will be listened to and acted on. Staff have a good knowledge and understanding of adult protection issues, which protect the clients from abuse. EVIDENCE: The home has an up to date complaints policy and procedure, which is also contained within the home’s statement of purpose and service user guide. The clients who spoke to the inspector verified that they knew how to make a complaint should the need arise. The home has not received a complaint since the last inspection. The registered manager confirmed that all clients in the home are registered for postal voting. Should a client need the services of an advocate the registered manager would be able to contact an advocacy service on their behalf. The inspector spoke to care staff on duty, who were aware of the protection of vulnerable adults. Evidence of POVA training certificates were available on staff personnel files. The home has an up to date policy and procedure for POVA and has copies of the latest KCC, POVA guidelines. Staff were aware of the homes whistle blowing policy and procedure. The registered manager also has a list of contact numbers, whom care staff should contact if abuse does take place; with this list is a policy and procedure, which outlines the roles and responsibilities of care staff if abuse takes place. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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, 20, 21, 22, 24, 25, and 26 The environment is maintained to a high standard, providing the clients with an attractive and homely place to live. The registered manager has a good understanding of the areas, which need improvement. Planning is in place and sets out how these improvements will be resourced and managed. EVIDENCE: Glendale Lodge has a suitable and safe location and layout for its stated purpose of accommodating residential care for 24 elderly residents. The home has a programme of routine maintenance. The providers Extrafriend insist that the home is well decorated, that all items of furniture and fittings, which fall into a state of disrepair, are replaced immediately. The inspector witnessed on the day of the visit the registered manager, discussing repair issues with a local maintenance man/decorator, and also requesting that two bedrooms which were not being used at the present time are decorated prior to a client returning from hospital and prior to a new client moving in. The home employs a gardener and the grounds and gardens are kept in good, neat and tidy condition, and do not present any hazards to the clients of the home. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 16 The inspector did note that the temperature recordings for fridge 3 was giving some high readings, and has made a recommendation that the fridge thermometer is checked to ensure that it is working correctly. All communal lounge/dining areas in the home are well furnished and give a homely comfortable appearance. The inspector noted on the day of the visit that the dining tables were attractively laid for lunch. A communal lounge area had been decorated just prior to Christmas. The lighting in the communal lounges/dining areas is domestic in character. The furnishing in these rooms is domestic in character and meets the needs of the clients living in the home. All toilets in the home are clean and hygienic, and have provision of call system, paper hand towels, liquid soap, pedal bins. There are sufficient bathrooms in the home to meet the needs of the clients in the home. Most rooms in the home have en-suite facilities, providing the clients with a toilet and washbasin. All corridors in the home have handrails fitted, toilets have grab rails, and bathrooms have grab rails and hoists in situ. The communal rooms have wide door access for those clients who use a wheelchair. Storage facilities in the home are limited at the present time, but this should improve when the proposed extension is built. An alarm call system is available in every room in the building. All clients’ rooms are domestically furnished, and have been personalised with the client’s own belongings, i.e. small items of furniture, photographs, pictures, ornaments, etc. The carpets in client’s bedrooms are replaced as and when necessary. The home only has one shared room, which is not being used at the present time, and the registered manager is aware should this room be used as a double, the appropriate screening would need to be used to provide privacy and maintain dignity for the clients. The majority of bedrooms in Glendale Lodge have patio style windows fitted with window restrictors, clients are able to sit in the bedrooms in armchairs, and have a clear panoramic view of the surrounding area. The registered manager is in the process of guarding all radiators in the home, and at the present time is making enquiries about cloth covering radiators in the corridors of the home to prevent cutting the width of the corridors down. The home has emergency lighting throughout and this is checked and finding recorded monthly. Hot water in the home is stored at 60°C and hot water is delivered from hot water taps throughout the home at 43°C. The inspector has made recommendations that waste bins in the kitchen area for paper hand towels and storage of dirty tea towels are replaced with swing bins or pedal bins. The laundry room at the present time is small but is clean tidy and well ordered. There is a plan for a new laundry room in the proposed new extension to the home. The home has up to date policies and procedures for the prevention of cross infection, which includes the safe handling of clinical waste and the handling of spillages. The home has industrial washing machines, which, meets the requirements of the NMS. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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, 28, 29 and 30 Staff morale in the home is good, staff work positively with the clients to improve their quality of life. Staff are well trained and multi skilled, which ensures a good quality of, care and support. Recruitment practices have improved and therefore clients are less at risk. EVIDENCE: On the day of inspection there were sufficient care staff and domestic staff on duty to meet the assessed needs of the residents, and the staff on duty was reflected in the duty rota. During the inspector’s conversation with clients in the home, all stated that they found there were always enough staff on duty to meet their needs. At the present time the home has 50 of its staff qualified to NVQ level 2 and above, three members of care staff are working towards NVQ level 2 and two more care staff are due to sign on to the NVQ level 2 course. Recruitment practices have improved since the last inspection, and the inspector was able to view staff personnel files, all had POVA first checks, CRB checks, and two forms of identification and three written references. All personnel files contained terms and condition of employment. Certificates of mandatory training are kept on personnel files, and the inspector was able to see that staff had undertaken, moving and handling, basic fire awareness, first aid, food hygiene, health and safety awareness, POVA and dementia care training. The most recently recruited staff have undertaken some mandatory training, with further training taking place in the near future. On discussion with staff the staff told the inspector that they had all undertaken induction training. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 18 Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 19 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, 32, 33, 36, and 38 The management of the home is of a high quality, records are well managed, and clients receive a high quality of care. The systems for client consultation are good with a variety of evidence that includes stakeholders views are sought. Health and safety in the home is well managed with good risk assessments, policies and procedures in place to reduce the level of risk to the clients. EVIDENCE: The registered manager has achieved her NVQ Level 4 and RM1 award and has also received her certificates for this qualification. At the present time she is considering undertaking a degree qualification in Health and Social Care, and is keen to update her skills and knowledge with work related courses. Regular client and staff meetings are held in the home. The registered manager has an open door policy and both clients and staff have access to the manager when she is on duty, she often works hands on in the home, and monitors staff Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 20 practice. The registered manager has also developed a good quality assurance system, and on a monthly basis, checks with six clients (different clients each month), two clients are asked about the quality of food, two client give their experience of the activities on offer, and two clients discuss their care plans. The registered manager also ensure that she works with two care staff each month, she also checks that care plans are reviewed on a monthly basis, that supervisions are carried out, medication is audited, forms and temperature charts are checked, official records, COSHH, accidents, clients personal allowances, personnel files, menu’s, maintenance are all checked on a regular basis. Questionnaires have been compiled for visiting district nurses, and the registered manager is just about to involve local G.P’s in completing quality assurance questionnaires for the home. Minutes are kept of regular client and staff meetings. The fabric and cleanliness of the home is checked monthly. The registered manager will write up action plans for any improvements that need to be made. Staff are now supervised on a regular basis, and at least six supervisions take place for each member of staff annually. The home has up to date policies and procedures in regard to health and safety within the home. The majority of staff, with the exception of the newest recruits have attended mandatory training. Environmental risk assessments are in place and are regularly reviewed. All accidents in the home are recorded and monitored, and any notifiable accident is reported to the appropriate authorities. The inspector also viewed the fire log, and was able to see that fire points are checked weekly, emergency lighting checked monthly, fire drills take place 2/3 times per year, and fire fighting equipment is checked. All staff receive induction training, which includes health and safety procedures in the home. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 21 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 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 3 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X 3 Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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. 2. Refer to Standard OP19 OP26 Good Practice Recommendations The thermometer in fridge 3 needs to checked to ensure that it is recording the correct temperatures. Waste bins for paper hand towels and dirty tea towels need to be replaced with swing bins or pedal bins. Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Glendale Lodge Residental Care Home DS0000023282.V267382.R01.S.doc Version 5.0 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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