Inspection on 04/05/07 for Kirkley Lodge

This inspection was carried out on 4th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Kirkley Lodge 10/01/06

Kirkley Lodge 21/09/05

Kirkley Lodge 08/12/04

Kirkley Lodge 15/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Kirkley Lodge Dalby Way Coulby Newham Middlesbrough TS8 0TW Lead Inspector Brenda Grant Key Unannounced Inspection 4th May 2007 09:40 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 Kirkley Lodge DS0000000090.V338328.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. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kirkley Lodge Address Dalby Way Coulby Newham Middlesbrough TS8 0TW 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) 01642 599080 01642 575182 joanne.innocent@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust Joanne Innocent Care Home 47 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (24), Physical disability (11) of places Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Kirkley Lodge is a two storied purpose built care home for up to forty-seven people in three units. The home has been operating since 1993 and is registered under the Care Standards Act 2000 to provide care for up to twentyfour elderly frail people, twelve elderly mentally infirm people and eleven elderly people with high physical dependency needs. All bedrooms have en-suite toilets and washbasins and have letterboxes in their doors. All rooms are fitted with call alarms. The upstairs unit has a dining room and two lounges. Each downstairs unit has its own lounge/diner with a small kitchenette to allow staff and residents to make drinks though main meals are provided from the home’s kitchen. Each unit also has a quiet lounge. Residents are provided with a choice of assisted baths or showers. The home has a main kitchen and well-equipped laundry to meet resident’s needs. A hairdressing room is also available. The home has attractive large garden areas ample car parking facilities. It is located in a convenient position with local shops, services and recreational facilities being in easy walking distance and is close to bus routes. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the Pre-Inspection Questionnaire, Survey Forms that had been completed by residents and their relatives and we carried out a visit to the home. The visit took place over one day, seven hours twenty minutes in total. Discussion took place with residents, two relatives, staff, the manager and the deputy manager. We looked around the home and gardens as well as examining a number of records which included; residents and staff files, health and safety and maintenance checks, Complaints, staff and residents meetings and kitchen documentation. The findings from the inspection were commendable; with the manager and staff creating a homely atmosphere and making every effort to meet the needs of individual residents. What the service does well: The outcome of the unannounced inspection was that Kirkley Lodge has continued to deliver good performance and manage improvements. Where areas for improvement emerge the service recognises them and manages them well. Management and staff are enthusiastic and creative and make best use of resources; so that residents benefit from an excellent quality care service. The manager and the deputy manager include residents, their relatives and staff whenever there are plans to make improvements or changes at the home. Residents, spoken with, were very complimentary about all aspects of the home. Comments were, “The staff are very caring and professional in everything they do. I know they are always there when I need help”. “This home is the best place there is”. A relative, in a Survey Form, wrote, “The quality of care cannot be equalled, all care homes should use Kirkley Lodge as their example”. The home provides a pleasant, comfortable and homely environment that is well maintained. Staff are assisted and encouraged to complete basic and additional training; to improve upon their knowledge and skills when they are caring for the residents who live at Kirkley Lodge. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? The hot water outlet temperatures to all baths and showers are now regularly checked, for the safety of residents. Bedroom door letter boxes have had seals fitted so that it will reduce the potential risk of fire spreading. Plans have already been made to: • • relocate the storage of medication so that the facility is more secure and accessible when staff administer resident’s medicines move a partition wall of a room to make the room more easily available to residents. Handwritten entries on Medication Administration Records are now signed, dated and countersigned, to reduce the risk of mistakes when staff copy details from the pharmacy label. 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. Kirkley Lodge DS0000000090.V338328.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 Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Standards: 1, 3 & 6. The home does not give all of the relevant information in the Service Users Guide. Service users needs are assessed before they are admitted to the home. The home does not provide an intermediate care service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and an information pack/Service Users Guide that can be given to prospective residents. The guide did not give full details of the terms and conditions, including the range of fees. The manager is putting together a more informative pack that will soon be available at the home. One resident said, “I couldn’t have chosen a better home”. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 9 Three resident’s files were examined and they contained completed assessment documentation, confirming that an assessment of resident’s needs is carried out before people are admitted to the home. Residents also confirmed they had their needs assessed before they were admitted to the home, and they were assured the home would meet those needs. The home does not provide for intermediate care. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area good. Standards 7, 8, 9 & 10. Resident’s Care Plans set out health, personal and social care needs and staff make sure those needs are met. Residents are not involved when Care Plans are updated. Medication recording is satisfactory but storage needs to be improved so that medication is more accessible to staff. Residents are treated with respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Resident’s files, that were examined, had detailed information with different sections setting out resident’s health, personal and social care needs. The Care Plans also included Risk Assessments. Plans were updated when there were changes to resident’s needs but they were not routinely updated every month. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 11 Residents and two relatives said were not aware of the Care Plans but they knew the home had records about all of the residents. A resident and two relatives said they were always involved when there was an Annual Care Plan Reviews. The manager and care staff said, the home had introduced new Care Plans and care staff, who completed the Care Plans, were now more familiar with the documentation. The manager said care staff will be making efforts to involve residents and, where appropriate, their relatives with the Care Plans whenever the plans are updated. A relative said of the care staff, “Staff are very professional and well informed about the needs of residents” and another said, “Kirkley Lodge does its up most to make sure all residents are well cared for”. One relative, in a Survey Form, wrote, “Mother is well cared for, she is healthier now than she was 10 years ago, she is very content”. Health care needs are met by GPs and community nurses. When health care professionals visit the home, the visit is recorded giving information why the visit was made and the outcome. Resident’s records include special dietary requirements and monthly weight checks. A member of staff said, “I have completed extra training for Nutritional Screening, that is when we need to carry out regular monitoring on a resident who has lost too much weight. We complete food charts and carry out weekly record checks. When necessary we also involve GPs and dieticians”. One resident, who has communication difficulties, said the manager was organising some training for care staff; so they will be more aware and informed of the resident’s difficulties so that they can improve the communications with the resident. Records also include when specialist equipment has been identified and put in place. One relative, on a Survey Form, commented on a resident having been assessed for a special bed but the bed had not yet been provided. The manager is to make enquiries why that is the case. The home is in control of most resident’s medication. There is satisfactory recording of all of the medication and Risk Assessments are in place for residents who look after their own medicines. The storage space for medicines is limited. The manager said plans have already been made to relocate medication to a larger storage facility. Residents said staff always treated them with respect and, “They are very caring”. A resident said “Staff are always considerate about making sure I am not embarrassed, especially when they do any personal care”. Staff and residents said, residents could choose to stay in their bedrooms or be in the communal rooms with other people if they wish. Staff were seen being polite and caring towards residents and knocking on bedroom doors before entering the rooms. One relative, in a Survey Form, commented, “Staff do not always inform relatives when replacement clothing is needed”. Staff said “All residents now have a named carer and that carer is to keep in regular contact with families for sorting out those kinds of matters”. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards: 12, 13, 14 & 15 The home helps residents to live their lives as they wish and a programme of activities is organised that residents can choose to join in with, if they wish. Residents enjoy visits from families and friends. Residents are offered a balanced and varied menu, with individual preferences and diets being catered for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three units have a programme of activities that residents can choose to join in as they wish. Staff organise the activities in the individual units but main events are organised by the manager and her deputy. A member of staff said she had completed extra training, for caring for people with dementia, and she now has a greater awareness of looking after those people as well as knowing what kinds of activities are more appropriate for them. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 13 The manager said, the home has a resident who regularly visits other residents to ask if there are any extra activities they would like the home to provide, so that individual preferences can be catered for. On the day of the inspection visit, staff and residents were seen joining in and enjoying various activities. A relative, who completed a Survey Form, commented, “Entertainments keep residents mentally stimulated” and another relative wrote, “The home provides all of the creature comforts a person could wish for”. Staff said, they regularly ask residents if they can think of different activities they would enjoy. Staff said they sometimes suggest different activities; to add variety to those regularly programmed; to improve resident’s daily lives at the home. The nearby church arranges for a person to carry out regular visits to the home. A resident said, “Another church used to have a representative calling at the home but it had been a while since they last visited”. The manager said she would make enquiries to find out the reason why the visits had stopped. The manager said she would try to get another representative, from that church, to come to the home; so that different needs of religions and beliefs could be met. Comments, about the food, from residents and relatives were, “The home serves excellent meals”, “Food is varied, well cooked and well presented” and “You couldn’t get better food in a four star hotel”. Kitchen records were examined, they were up to date with individual diets and preferences being documented. There are choices, for main meals. The deputy cook said, “If a resident preferred something different, to the choices on the main menu, we would make every effort to provide it”. The menus, displayed in each unit, had very small print. They gave four weeks of menus, making it confusing for residents if they didn’t know which week was being used. The manager said the home is planning to have individual menus placed on dining tables. The all dining rooms were nicely presented, with table-cloths and flowers on each table. Staff were seen offering assistance, to some residents, during a meal; they would cut up food and encourage residents, to eat their food, when it was needed. Some staff sat with residents during the mealtime; so that the help they gave to residents was carried out in a sensitive and discreet manner. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards: 16 & 18 Residents benefit from a satisfactory complaints procedure and they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The record of complaints was examined; it showed there were thorough investigations and complainants were informed of the outcome. The home now records if a complainant is satisfied with the complaint investigation and action that has been taken. Residents said they knew about the home having a Complaint’s Procedure but they had nothing but compliments about how they are cared for. Residents said, they had every confidence the manager and staff would take appropriate action if they made a complaint. Staff said, they had completed training for the protection of vulnerable adults and they knew what action to take if there was an allegation of abuse. Staff files confirmed the training had taken place. The records also confirmed the home follow the correct procedures, for the protection of residents. Kirkley Lodge DS0000000090.V338328.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards: 19 & 26 The home is provides a safe and comfortable and is environment that is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The first floor lounge/dining rooms have been converted to separate lounge and dining rooms and there is also another lounge for residents to use. Residents said it was much better; having a separate dining room. Communal areas have been redecorated since the last inspection. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 16 One unit, on the ground floor, has stained carpeting in the communal areas; the manager said plans have already been made to replace the carpet. There are also plans to make improvements to the access of a communal room; by moving a partition wall and replacing a single door with double doors. The fire officer had informed the manager that bedroom door letter boxes must have seals; to reduce the potential risk of fire at the home. Those seals have now been put in place. New baths and a shower have been installed since the last inspection. The housekeeper has been busy decorating the bathing areas, with ornaments and flowers, to make them more attractive and homely. A relative commented, on a Survey Form, “The home is clean, well decorated, warm and welcoming” and another relative wrote, “Kirkley Lodge has a homely feel to it”. All residents said they thought the building and gardens were well looked after. One resident said, “I have a lovely big room that is more like a bed-sit than just a bedroom”. One resident’s bedroom wall was scuffed and marked, the manager said, the wall would be redecorated in the near future. A relative, on a Survey Form, commented, “A canopy above the front door would be appreciated, when waiting for staff to open the door in wet weather”. The manager said it was a valid point that would be taken into consideration when further building improvements are made at the home. Two relatives said they voluntarily assist with planting in the garden. The manager said she is hoping there will be further improvements to the garden areas, to make them more attractive and pleasant for resident’s to enjoy during the warmer weather. Kirkley Lodge DS0000000090.V338328.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards: 27, 28, 29 & 30 Staff numbers and skill mix are appropriate for the resident’s needs. Staff are competent to do their jobs and residents are protected and supported through the home’s recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has 61 of care staff qualified to at least National Vocation Qualification Level 2. This is above the minimum standard of 50 . In addition care staff have completed specialist training courses, that are specifically for caring for the older people at the home. Staff said, they are encouraged to attend extra training courses, resulting in residents benefiting from being cared for by a skilled workforce. One member of staff said, she enjoyed a university course that gave her extra insight to looking after people with dementia. The home makes sure basic staff training is regularly updated, such as training for; First Aid, Fire Training and Manual Handling. The manager keeps up to date records of all staff training that highlights when refresher training is needed. A resident said, “Standard of care is high, the staff are well trained and friendly”. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 18 In a Survey Form, one relative commented, “There doesn’t seem to be enough staff on the unit for people with dementia, two per shift doesn’t seem enough”. The staffing rota recorded there were three staff designated to be on duty in that unit. Staff said, “There are times when care staff help residents with their personal care and those staff would obviously not be in the communal areas where the relatives usually visit”. Staff said they are kept very busy but there is always time to organise activities and to spend quality time with individual residents. Another relative, in a Survey Form, wrote, “Staff turnover rate is a bit unsettling”. The manager said there had been some staff changes but the home now a stable staffing compliment. Staff files were examined; they had satisfactory information and checks, demonstrating the home is following the recruitment policies and procedures, for the protection of the residents. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Standards: 31, 33, 35 & 38 Management and administration systems in the home ensure the home is run in the best interests of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a well defined management structure of: manager, deputy manager, team leaders and care staff. All staff, spoken with, were well aware of their roles and responsibilities. Residents, relatives and staff all said they thought the home was very well run. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 20 Residents and relatives commented that the manager and deputy include everyone when decisions are made about making changes. A resident said, “We have regular meetings when we are asked what changes we want, to make things better for us”. There are also regular staff meetings where staff have the opportunity to give their views and comments about the service provided at the home. The manager said, she always tries to include residents, relatives and staff with all of the decisions that are made about the home. Kirkley Lodge keeps records of all those meetings, they show there is a twoway flow, of: information, discussion and decision-making. The manager said, the home has also a quality assurance system where residents and relatives can comment on what is good about the home and where they think improvements could be made. All comments are taken into account when the manager develops the home’s plan for the year. The manager said the home does not get involved with resident’s finances but they sometimes take care of resident’s personal allowances. The home keeps computer and manual records of all of those monies. A sample of maintenance records were examined, they were all found to be up to date. The manager said the home contracts with various companies to carry out some of the regular checks and the home’s staff complete other checks. All checks are to make sure staff and residents benefit from a safe environment. Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 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. 1. Standard OP1 Regulation 5 Requirement A written guide must include details of terms and conditions and the amount and method of the various payments of the fees. This will assist in giving residents all of the relevant information before they choose to live at the home. Residents and, where appropriate, their representative must be consulted when Care Plans are reviewed. This will enable residents to give their views about how their cared is carried out. The registered person must ensure that all medicines are stored appropriately so that medicines are more secure and accessible to staff when staff are administering medicines to residents. To improve the appearance of the home: • The scuffed wall, of a bedroom, must be DS0000000090.V338328.R01.S.doc Timescale for action 30/09/07 2. OP7 15 31/07/07 3. OP9 13 31/07/07 4. OP19 23 31/07/07 Kirkley Lodge Version 5.2 Page 23 redecorated • The stained carpet, on Roseberry Unit, must be replaced 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 Standard Good Practice Recommendations Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kirkley Lodge DS0000000090.V338328.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!