CARE HOMES FOR OLDER PEOPLE
Henley House 225 Whalley Road Accrington Lancashire BB5 5AD Lead Inspector
Mrs Jennifer M Turner Key Unannounced Inspection 15:00 3 , 4 and 8th October 2007
rd th 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 Henley House DS0000009436.V338658.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. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Henley House Address 225 Whalley Road Accrington Lancashire BB5 5AD 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) 01254 232763 01254 237022 Wellfield & Henley House Ltd Ms Susan Margaret Brady Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The service shall, at all times employ a suitably qualified manager who is registered with the Commission for Social Care Inspection. 15th January 2007 Date of last inspection Brief Description of the Service: Henley House is registered to provide accommodation and personal care for twenty-three older people. The property is Victorian and set in well-maintained gardens with outdoor seating areas. Henley House is located on the main Whalley Road, which a main bus route to all towns in the Hyndburn area. Local shops are nearby. Accommodation is provided on two floors in twenty-three single rooms, eighteen of which have en-suite facilities. There were two lounge areas and a dining area. Smoking is permitted in a specially designated area. At the time of the inspection, the scale of fees ranged from £342.50p £386.00p. Additional charges are made for hairdressing, any private healthcare, personal magazines and newspapers over and above those provided. Information is available in a Statement of Purpose and Service Users Guide. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Henley House on 3rd, 4th and 8th October 2007 over a ten hour period. At the time of the inspection there were twenty-two people accommodated in the home. During the course of the inspection, the proprietor, the manager, two care assistants, the cook, a number of residents and relatives were spoken to. A number of residents and staff files were examined, procedures and records were also examined, lunch was taken with the residents, activities were observed and the premises were viewed. Feedback was offered to the proprietor at the end of the inspection. Information from an Annual Quality Assurance Assessment document, three questionnaires received from residents, two questionnaires received from health professionals and three questionnaires received from relatives contributed towards the findings. A home visit was made, at the request of relatives, to their home to discuss the questionnaire they had completed. Requirements and recommendations made following the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. A review of the conditions of registration also took place. What the service does well:
Prior to people moving into the home, their needs were assessed. They were consulted about the level and type of care they required and could visit the home to look for themselves at the facilities offered. Important information needed to support people in every day living was recorded and used to plan the care they required. This helped to personalise care and show staff what they should do to achieve this. The diverse healthcare needs of the residents were monitored. Staff worked with visiting health professionals for the benefit of residents who felt that they received the care and support they needed. Comments made in surveys indicated that medical support was available if it were needed. One General Practitioner commented, in a questionnaire, that Henley House “Remains clearly the best home for the Elderly in my practice. Well run”. The service offered a range of activities that met peoples’ needs and meant that they could enjoy a variety of options to choose from. They were able to have some say in what activities were provided through the forum of the
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 6 residents meetings. A variety of activities took place both in the home and within the community. One relative commented, “I wonder if it would be possible for some activities to be arranged for residents to participate in - an opportunity for residents to undertake activities themselves as opposed to them being passive observers of staff doing activities for them”. Residents commented, “I like to sit quietly and read my books”. The service was good at making visitors feel welcome. A residents friend commented, “We find the home warm and friendly. Staff are welcoming and very helpful”. Residents said that their visitors were “made welcome” and they could “speak with them in private”. The general layout and décor of the home provided comfortable surroundings, and was warm, tidy and clean. State of the art laundry facilities were in place. The attitude of the staff and management is to run the home around the needs and choices of the residents. Mealtimes were a social occasion. Meals were well balanced and nutritional, catering for a wide variety of dietary needs of the residents. Those spoken to said, “the food is good and they give you a choice”, “the food’s fine” and “there is always a choice at mealtimes”. The routines in the home were well established and residents had a choice in the times they went to bed and got up in the morning. One resident said “I like to go to bed early and get up early”. The staff were observed to seek the views of residents throughout the inspection. There were sufficient staff on duty to meet resident’s needs. The complaints procedure was clearly displayed. Staff continued to undertake National Vocational Qualifications at level 2 (or equivalent) in order to maintain the national target. Quality Assurance processes were continually used. The views of residents and visitors about the running of the home were being sought. The development plan outlined future plans for the service. What has improved since the last inspection?
A terms and conditions in respect of accommodation has been provided. This ensures that people are aware of basic information about the home. Resident’s needs assessments are signed and dated on completion. This confirms that people have been involved in the decisions reached.
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 7 A written plan, as to how the residents’ health and welfare needs are to be met has been developed. This ensures that all staff are aware of the individual needs of residents. The complaint procedure has been reviewed and displayed in the hallway. This ensures that people know how to make a complaint if they so wish and are aware of how it will be dealt with. Staff have received training in respect of the “Protection of Vulnerable Adults”. This ensures that residents are protected from harm, abuse or being placed at risk or harm or abuse. Staff receive training appropriate to the work they are to perform. ensures that a competent staff team cares for residents. A variety of recreational activities are provided. opportunity to decide whether they take part or not. This This gives people the 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. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2;3;6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment procedure was carried out prior to people moving into the home. This meant that their diverse needs were known and met. EVIDENCE: Three peoples files were examined. They all contained a copy of a contract that was signed by either the resident or a relative. Terms and conditions of residence were explained. Fees were included if the person was privately funded. For other people the proprietor said there was difficulty in providing people with a fee if the Social Services department did not provide the necessary information. People were told verbally, at the time of admission, the approximate level of their fee, but no monies were collected until a member of the Social Services Department confirmed the fee. This could sometimes take up to three months. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 10 Information written on a pre assessment form, completed by the proprietor, included all the required details and included various health and social care needs and abilities. This information was obtained during a pre admission visit to Henley House or when people were visited either in their own home or in hospital. Prospective residents were actively encouraged to spend some time in the home prior to making the decision to move in. Copies of letters, confirming that staff could meet people’s needs, were seen on files examined. These were usually issued after a trial period. The home does not provide Intermediate Care. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7;8;9;10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ diverse healthcare needs were identified and met. Personal care was delivered in a way that promoted residents’ privacy and dignity. EVIDENCE: Three people’s care plans were examined. A variety of risk assessments were completed in response to individual needs and circumstances, and information was included in the care plan. Records showed that care plans were reviewed on a monthly basis or more frequently if required. Relatives were invited to attend reviews and records showed that residents, relatives and staff signed the documentation. Residents, relatives and staff spoken with indicated that people received appropriate medical and health support when required although family members of one resident told the inspector that they had not been informed, and were not aware, when the General Practitioner visited their mother, following an infection. Records showed that moving and handling assessments
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 12 were carried out as appropriate and that people received attention from a variety of health care professionals. All contact was recorded in residents’ files. Various health care policies and procedures were available. The inspector mentioned to staff that footplates should be affixed to wheelchairs whenever people were being moved around in them. The medication and records were checked for three residents. All were correct. A monitored dosage system was used for the administration of medication. Policies and procedures were available to cover all aspects of managing medication in the home. The medication policy had been reviewed on 5/02/07. Appropriate records were in place to record the receipt, administration and disposal of medication. Systems were in place for the management of controlled drugs. Records showed that all the staff designated to administer medication had received, or were undertaking accredited training. However, during lunchtime, staff were observed to leave medication with some residents for them to take, whilst some residents were watched whilst they took theirs. The staff signature list needed to be replaced as it had been removed from the medication file. People completed and signed an agreement upon admission stating who they wished to be responsible for administering their medication. The Medical Device Alert relating to Lancing Devices was discussed. According to staff, District Nurses would carry out such practices. Any accidents that occurred were appropriately recorded in people’s files. Residents spoken to felt the staff respected their right to privacy and all made complimentary remarks about the staff, “they are good girls and speak to us kindly.” Staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. However, some relatives spoken with felt that staff could be more sensitive when taking people from the lounge to the toilet. One General Practitioner commented in a questionnaire that Henley House “Remains clearly the best home for the Elderly in my practice. Well run”. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12;13;14;15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ dietary, social, cultural and spiritual needs were being met. They were able to make choices and decisions about their life at the home so that their lifestyle met their preferences. EVIDENCE: There were some very good details in the care plans about residents’ individual routines and social activity. Residents spoken to said that they were able to make choices and were happy with the way that their lives were lived, “I like to sit quietly and read my books”. Residents were seen to use their rooms as and when they liked. A range of activities was offered to residents and every other day these were recorded in an activity book. Involvement with activities was entered into people’s daily records. Some people would go out themselves, with relatives or with staff locally or on country drives. Activities to be undertaken were discussed at the residents meeting. It was evident from the daily records that residents were offered the opportunity to go out whenever they wished. Spiritual Leaders visited the home on a regular basis to offer the Sacrament.
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 14 Visitors spoken with said that they were made welcome at any reasonable time. They could see people in private in their room or in the lounge areas. Information relating to the visiting policy was written in the Statement of Purpose and Service Users Guide. Residents’ finances were dealt with by either themselves or their family/advocate. Information relating to advocacy was available. People had access to their personal records through their involvement with care plans and the review process. One resident commented that he was “involved with care plan reviews” and had the opportunity to “have a say”. Menus and records of meals served, showed that a balanced diet was being offered. Alternatives to the menu were also specified. Residents could have their meals in their rooms if they wished but were encouraged to eat in the dining room for the social interaction. Drinks were served with every meal and also in-between times. The meal on the day of inspection was nicely presented and looked appetising. The atmosphere in the dining room was pleasant and unhurried. Staff were observed to encourage people to be independent when eating their meals, but offered assistance when it was required. Specialised equipment was seen to be in use. People commented, “Meals are very good”. The menu was displayed in the hallway and residents were aware of the forthcoming meal. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16;18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were not fully protected from harm or abuse. the complaints procedure. EVIDENCE: The complaints procedure was included in the Service Users Guide and was seen displayed in the passage off the entrance hall. The procedure contained the necessary information should a resident wish to raise a concern with the home or the Commission. The complaints book showed that there had been one complaint since the last inspection. This related to “clothes going missing” which were later found and returned. This incident had been mentioned in a relative’s questionnaire. Residents were aware of the procedure and knew who to speak to if they had a concern. One of the comments in a relative’s questionnaire in relation to making a complaint was “ Can’t remember the official procedure. When I have raised issues with the manager they have been addressed.” There was a suggestion box in the hallway for anyone wishing to remain anonymous. A copy of the Department of Health document “No Secrets” and “No Secrets in Lancashire” were readily available along with the homes “Whistle Blowing” policy that had been reviewed in June 2007. Staff spoken with were aware of their responsibilities toward residents and said that appropriate training was available. Records showed that “Protection Of Vulnerable Adult” training had
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 16 They had access to recently taken place “in house” on 04/09/07 and further training was planned. The registered person understood the referral system for the Protection Of Vulnerable Adults register. The recruitment and selection procedures did not ensure that residents were safe from harm or abuse. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Equipment provided meant that the diverse needs of the client group were met. The home was warm, clean and comfortable with a good standard of hygiene being achieved and residents lived in a safe environment. EVIDENCE: Henley House is a mature property set in its own grounds. The residents had access to the garden areas and there was a patio area for use in fine weather. Garden furniture was available. All bedrooms had single occupancy and many had an ensuite facility. They all had door locks fitted but not all had a lockable facility. The Fire record book was seen and all entries for servicing and testing the fire equipment were up to date. Equipment in the laundry was sufficient to meet the needs of the home. An Otex ozone system had been installed to the washing machine. From information received prior to the inspection and from documentation seen, policies and procedures were in place in respect of the control of infection. The home was clean and hygienic in all areas seen, during the inspection.
Henley House DS0000009436.V338658.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. The recruitment process did not fully meet current legislation. This meant that residents were not fully protected by the current recruitment practices. EVIDENCE: Records showed that there were sufficient numbers of staff on duty to meet the diverse needs of the residents. Staffing levels were increased if it was felt that residents required more support. There was a duty rota, which showed the names of staff and the hours they worked each day. Separate ancillary staff were employed. Of the fifteen care staff, records showed that seven had completed the National Vocational Qualification at level 2 or above, and one member of staff had completed a Foundation Degree in Care (53 ). A further one care staff was undertaking an NVQ at level 3. Five other staff were awaiting places. The files of two staff members recruited since the previous inspection were viewed. Both were found to have shortfalls in the documentation required by legislation. The areas of a Protection of Vulnerable Adult (POVA) check and a Criminal Record Bureau (CRB) check being obtained prior to staff commencing employment had been highlighted during the previous inspection. The reason
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 19 why these checks had to be undertaken were explained to the Responsible Individual. Other requirements had been met. From reading records and talking with staff, induction training was offered “in house”. The Business Plan showed that this was to be based on a package provided by “Regis Training”. The inspector mentioned that the responsible individual must ensure that this is based on the Skills for Care Standards. A training matrix was examined and showed a variety of training being offered both “in house” and external. Staff said that training needs were identified during their supervision periods. Henley House DS0000009436.V338658.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 good. This judgement has been made using available evidence including a visit to this service. The home was run in an open and transparent way and was run in the best interests of the people who lived there EVIDENCE: The registered manager had completed her NVQ 4 in care qualification, and the registered manager’s award. Training records showed that she continued to undertake further training relevant to her post. The responsible individual visited the home on a daily basis and had been involved with Henley House for twenty-five years. Lines of accountability appear in the Statement of Purpose. Records showed that the management team were committed to Quality Assurance. In addition to the Investors In People Award, it is a “Preferred Provider” with Lancashire County Council. From discussion with residents,
Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 21 their comments are sought via Residents meetings and they felt that they “were listened to”. A Business Plan was made available which outlined plans for the period 2007 – 2008. The Statement of Purpose had been reviewed in February 2007. Questionnaires were made available to residents and relatives on an annual basis around September/October. The results of last years survey had been collated in graph form by the administrator and were displayed in the hallway. Policies and procedures were reviewed in February 2007. The registered manager was not an appointee for any resident. The inspector was advised that personal financial affairs were dealt with by the residents themselves, their next of kin or family. Training records showed that staff members had participated in training relating to safe working practices. Infection control procedures were available. Records showed that regular servicing of equipment takes place by authorised and qualified contractors. Cleaning materials were stored safely. The reporting of accidents was accurately recorded. The registered person felt that the home complied with relevant legislation. There was a set of health and safety procedures available. Henley House DS0000009436.V338658.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Henley House DS0000009436.V338658.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. Standard Regulation Requirement Timescale for action 1 OP9 13 (2) Staff must observe all residents 31/10/07 when they are taking their medication. This will ensure that required medication is taken by the person it is prescribed for. 2 OP18 17 (2) The recruitment and selection 31/10/07 Schedule procedures do not ensure that 4 (6) residents are safe from harm or abuse. 19 (1)(b) Schedule 2 3 OP29 19 The registered person must 31/10/07 operate a thorough recruitment procedure at all times to ensure residents are safeguarded from harm or abuse. Previous timescale of 01/06/07 not met Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations Standard 1 OP8 In the interest of health and safety, footplates should be affixed to wheelchairs whenever people were being moved. 2 OP9 A name and signature list should be available of all staff that administers medication. OP24 3 A lockable facility should be provided in resident’s bedrooms for personal valuables. Henley House DS0000009436.V338658.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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