Inspection on 19/05/06 for Kirlena House

This inspection was carried out on 19th May 2006.

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

The inspector 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

Kirlena House 18/10/08

Kirlena House 19/11/07

Kirlena House 20/07/07

Kirlena House 21/02/06

Kirlena House 09/08/05

Kirlena House 23/11/04

Kirlena House 21/09/04

Kirlena House 12/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Kirlena House 18 Kennington Road Oxford OX1 5NZ Lead Inspector Delia Styles Unannounced Inspection 19th May 2006 09:35 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 Kirlena House DS0000013097.V295586.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. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kirlena House Address 18 Kennington Road Oxford OX1 5NZ 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) 01865 730510 enquiries@auditcare.com Mr Vedenath James Audit Mrs Ellen Audit Mr Vedenath James Audit Care Home 12 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (12), of places Physical disability over 65 years of age (1) Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 12. 21st February 2006 Date of last inspection Brief Description of the Service: Kirlena House is a registered care home for older people accommodating up to 12 residents. The home is located near Oxford in the village of Kennington, close to shops and transport facilities. The house itself is detached, with a patio area and large attractive garden at the rear. There is one shared bedroom and 10 single bedrooms - all but one room have en-suite WC and hand basins. There is lift access the first floor. The ground floor lounge overlooks the garden and there is a separate dining room. The home does not provide nursing care, and has a clear admissions policy. The home provides 24-hour support for the residents and accesses appropriate external medical and nursing services to maintain the health of the residents living here. Kirlena House is the smaller of two homes privately owned by the same proprietors and in close proximity to each other. The home shares its policies and procedures with its sister home, Mon Choisy. The current range of fees is between £491 and £562 per week. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of Kirlena House was an unannounced ‘Key Inspection’. The inspector arrived at the home at 09.35 and was in the service for six hours. The inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Six questionnaires (‘comment cards’) were received from residents, four from relatives/visitors and three from general practitioners who provide medical care to residents. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. The inspector discussed her findings and recommendations with the home owner and registered manager, Mrs Audit, at the end of the inspection. What the service does well: This is a relatively small care home with a friendly and domestic environment. A relative described the home as a ‘very happy, contented place…X (resident) says she never wants to go anywhere else’. All the residents’ questionnaires received stated that they liked living here, feel well cared for and that staff treat them well. The home manager provides regular training and supervision meetings for staff, so that staff are clear about what standards are expected of them. The home owners/managers, Mr and Mrs Audit, are available to residents in the home on a daily basis, and take a personal interest in the residents’ care and wellbeing. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The standard of written records of residents’ assessments and care needs should be improved, so that staff have enough information to draw up detailed care plans, and can show that the care they give matches the residents’ assessed needs in a way that suits the individual resident. Recommendations are made about using liquid soap rather than bars of soap for hand washing, and about the storage and date-checking of chilled and frozen food, as added precautions to reduce the risk of infection to residents and staff. Worn and damaged articles of furniture and equipment should be repaired or replaced because they are unsightly and potentially a risk to residents. The way the staff rotas are planned should be changed to make sure that staff do not work a mixture of night and day duties in the same week and have enough rest between shifts so that they are less likely to become overtired as fatigue may affect their work and put them and residents at risk of accidents and mistakes. Staff should have access to a copy of the home’s brochure and information that is given to residents and prospective residents, and a copy of the National Minimum Standards and Regulations for Care Homes for Older People, so that they (staff members) are aware of what residents are told about the standards and facilities they can expect when they come to live in the home. The home should have a quality assurance system in place based on residents’ and professionals’ views about the standard of the home’s facilities and care. Staff should always use recommended safe moving and handling procedures and equipment when helping residents, to avoid injuring residents or themselves. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 7 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. Kirlena House DS0000013097.V295586.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 Kirlena House DS0000013097.V295586.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 is not applicable, as the home does not provide intermediate care. Quality in this outcome area is adequate. Assessment information about prospective residents is sufficiently detailed but there was some evidence that pre-admission information is not included in the residents’ care plans, so that there is a risk of staff not being aware of some aspects of residents’ care needs or preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The assessment information for three residents was looked at. For two residents, there was evidence of comprehensive assessment having taken place pre-admission. For one resident, there was insufficient information about the person’s recent medical problems and altered abilities that had occurred during their initial assessment stay in this home. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 10 Assessment information is held on a separate file for the initial period of their stay at the home. Staff should be fully conversant with a prospective or new resident’s care needs so that they are able to assure the new resident and their family and representatives that the home is able to provide the level of care that they require. Kirlena House DS0000013097.V295586.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. The care planning system should be improved to adequately provide staff with the information they need to fully meet residents’ care needs. The health care needs of residents are satisfactorily met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A sample of four residents’ care plans was examined. These gave insufficient detail for the care staff to follow, so that there is a risk that residents’ individual care needs and preferences are not met. Staff keep a separate record of when they review residents’ care plans. The actual care plans seen had no alterations or updates added since 2005. Significant changes in one person’s care records were only noted in the daily record, but not in their risk assessments - for example, in relation to their ability to move independently and safely. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 12 One resident had been assessed as ‘at risk’ because of their weight loss and potential for malnutrition, but there was no record about the care plan interventions suggested, such as weighing the resident weekly and providing nutritional supplement drinks for them. One resident had no care plans, although they had been in this home for more than one month. Many of the daily records lacked an entry for one morning. A gap had been left for the staff member to fill in retrospectively. This is poor practice, as residents’ care records should be accurately completed by the member of staff responsible for the residents’ care at the time. There were also some entries that had been altered with correction fluid (‘Tippex’). Any amendments or incorrect entries to care records should be crossed through once and countersigned by the staff member making the original entry. The comment cards from three GPs who provide medical care to residents showed that they are satisfied with the overall care provided to residents, although all said that there was not always a senior member of staff to confer with when they visited the home. District nurses maintain a separate record of any visits and treatments they provide for residents. There was evidence that residents are referred to appropriate NHS services for additional medical consultations as necessary. The systems for safe storage, administration and records of residents’ medicines were looked at and were satisfactory. The inspector recommended that there should be a record kept to show whether residents who had prescribed skin ointments and lotions had had these applied by care staff, as directed. Residents’ comment card responses showed that they felt that their privacy is respected and the inspector found this to be the case, for example by observing the way in which staff spoke to residents and knocked on residents’ doors before going in. Kirlena House DS0000013097.V295586.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. There is some evidence that the home provides recreational and social opportunities to meet most residents’ interests, although activities for those residents who are mentally frail could be more flexibly provided. There was evidence that the food and mealtimes suit the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four of the six residents who completed a CSCI ‘comment card’ regarding opinions about their life at this home felt that the home does provide suitable activities, whilst two said that this was ‘sometimes’ the case. On the day of the inspection most residents were in the ground floor lounge listening to music tapes. Staff organised a game of dominoes for three residents who enjoy playing this after lunch. Another resident enjoys playing the piano in the sitting room and others join in with ‘sing-a-longs’. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 14 Several of the residents have short-term memory problems and the inspector suggests that these residents need to be involved in individual and shared activities matched to their past interests and day-to-day abilities. During the day the inspector saw two visitors who were made to feel welcome in the home. The front door is locked for the safety of residents. Residents come and go independently as they are able. Residents told the inspector that the food was very good and this was confirmed five of the six comment cards received (one person said that they liked the food ‘sometimes’). The main meals for the home are prepared and transported in covered containers from the proprietors’ other care home nearby. Drinks, breakfasts and snack foods are prepared in the Kirlena kitchen. Kirlena House DS0000013097.V295586.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. There is evidence that the home has a satisfactory complaints system and residents and their families feel that they are listened to and their views are acted upon. This judgement has been made using available evidence including a visit to this service EVIDENCE: The home has a formal complaints procedure. A relative/visitor who had raised a complaint in the past wrote that their concern was ‘dealt with at once and an apology was given. I felt satisfied with the outcome.’ Five of the six residents’ comment cards showed that, if unhappy with their care, they knew who to speak to. There was evidence of regular review meetings with residents and their social services care managers and families to discuss residents’ care and the extent to which it meets their needs. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. Overall, the cleanliness and standard of the décor and environment is satisfactory, though some items of furniture and equipment need to be repaired or replaced to improve their safety and appearance. This judgement has been made using available evidence including a visit to this service EVIDENCE: The home is very clean and, with the exception of one room, fresh-smelling. Residents’ rooms are personalised with their own belongings and ornaments. The floor covering is of washable linoleum-type throughout most of the home, except the lounge and some residents’ rooms. One resident told the inspector that she was ‘not allowed’ to have carpet. The proprietor said that all residents are given a choice of flooring on admission. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 17 As stated in earlier inspection reports, several of the residents’ beds are metal framed and not of a domestic type, and so give a less homely impression. Some furniture and equipment had damaged or worn surfaces. For example, a wheelchair used to transfer a resident from the lounge to their room had a large split in the back support, three footstools in the sitting room had frayed undersides and two commode frames had chipped and flaking paint. Worn or damaged items should be repaired or replaced promptly, because they look unsightly, cannot be effectively cleaned and may pose a hazard to residents. The inspector noticed tablets of soap at hand basins in the bathrooms and toilets. It is recommended that liquid soap and paper hand towels are provided in shared facilities, and for staff use in residents’ rooms, because soap bars and fabric towels can harbour germs and cause cross-infection. There is a large garden to the rear of the home that is attractive and well maintained. The patio and lawn provide a safe and accessible area for residents to enjoy in good weather. Kirlena House DS0000013097.V295586.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. The number and skill mix of staff is consistent and generally meets the care needs of the residents. The arrangements for the recruitment, induction and formal supervision of staff are satisfactory and there is evidence of regular training sessions for staff. This judgement has been made using available evidence including a visit to this service EVIDENCE: Many of the staff work in both Kirlena House and Mon Choisy. The duty rota shows that most staff work in excess of 40 hours per week at Kirlena House, covering both night and day shifts, and have split days off. Shift leaders on occasions are rostered to be ‘sleep in and on call’ overnight, when they have already worked a day shift. These working patterns may cause staff to become overtired and more prone to accidents that could adversely affect residents and themselves. One relative/visitor’s comment card said that the staffing numbers were usually sufficient except where ‘one or more residents are having extra problems’. Another wrote that ‘the staff are very approachable’. Residents were clearly at ease with the staff on duty on the day of the inspection. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 19 In addition to the home manager and care leader, the home’s co-proprietor, Mrs Audit, is available to provide advice and support to staff in both care homes as needed. There is a good programme of staff training in place covering topics such as manual handling, food hygiene and nutrition, adult protection, the safe administration of medicines, fire safety and first aid. The home’s recruitment, induction, training and supervision records were well organised and showed evidence of an established system for ensuring that staff are adequately checked, trained and competent to look after the residents. Kirlena House DS0000013097.V295586.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This home has been established for 15 years and is owned and run by experienced managers. There is some evidence that residents and their families are satisfied that the home is run in the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr and Mrs Audit and their deputy manager have more than 25 years each experience in running care homes for older people. Mrs Audit is currently undertaking the Registered Managers Award in Care to meet the recommendations of the CSCI for necessary qualifications for registered managers. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 21 This is a relatively small home, and Mr and Mrs Audit are readily available in both Kirlena House and Mon Choisy. There is a deputy manager and care manager who provide the day-to-day management in Kirlena House. There is evidence that the proprietors get formal feedback from residents and relatives about the services and care in the home. This was seen in the sister home Mon Choisey. A shift leader told the inspector that she had not seen the home’s Statement of Purpose and brochure given to prospective residents, or the Department of Health publication - Care Homes for Older People (National Minimum Standards and Regulations). There were copies of the CSCI most recent inspection report available in the staff office. Three of the four comment card responses from relatives/visitors showed that they knew how to access a CSCI inspection report about the home. Care staff should be familiar with the home’s own written information and philosophy of care given to residents and their families so that they are able to check whether the services and care standards expected by residents are consistently met. The home has satisfactory procedures to safeguard residents’ personal allowances and record small transactions made on a resident’s behalf - for example hairdressing and chiropody charges - if the resident is no longer able to do so independently, and does not have a family member or representative to deal with this for them. An item of food in the kitchen fridge/freezer was marked with a passed ‘use by’ date. Staff explained that this was something that had been frozen and defrosted. Food items that have been frozen and thawed, and cartons of fruit juices, should be marked with the relevant opening and recommended ‘use by’ dates, so that staff are confident about the freshness and safety of food served to residents. The inspector observed an instance of poor practice when staff transferred a resident from an armchair to a wheelchair, using an under-arm lift. This technique should not be used because of the risk of injury to the resident’s shoulders, and to staff members, if the resident cannot support their own weight. The home has moving and handling aids such as ‘slide sheets’ and turntables, and staff should always plan and use the equipment and recommended safe procedures when assisting residents. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard OP3 Good Practice Recommendations Ensure that the pre-admission and continuing assessment information about residents is available to staff and is used as the basis to draw up accurate care plans for care staff to refer to. All residents should have a detailed individual plan of care covering their health, personal and social care needs. Care plans should be reviewed and updated to reflect any changes in the residents’ care needs. If staff make any alterations to written records they should do so in a way that the original entry can still be read clearly, and these should be written as soon as possible after the care has been given. Where a resident has a prescribed skin cream or lotion applied at times other than the usual medication ‘round’, a record should be maintained to show that the prescription has been followed and staff can monitor and report the outcome to the prescribing doctor or nurse. DS0000013097.V295586.R01.S.doc Version 5.2 Page 24 2. OP7 3. OP9 Kirlena House 4. OP12 5. 6. OP19 OP26 7. OP33 8. OP38 The manager should seek guidance on reviewing the range of activities available for residents with dementia and consider more flexible ways of engaging residents in activities and social opportunities appropriate to their abilities and interests. Repair or replace broken or worn items of furniture and equipment as indicated in the report. Provide liquid soap and paper towels for residents’ who choose to use them. Staff should use liquid soap and paper towels for residents’ in shared bathrooms and toilets. Liquid soap and paper towels should also be used for staff in residents’ rooms, to reduce the risk of crossinfection from sharing bar soap and fabric towels. The management should ensure that staff have access to the home’s Statement of Purpose and the printed information that is provided for residents; the staff should also be familiar with the National Minimum Standards for Care Homes for Older People and have a clear understanding of the contents. Staff should always use safe moving and handling techniques and equipment to protect residents and themselves from injury. Ensure the correct labelling and dating of stored food to avoid food poisoning. Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Kirlena House DS0000013097.V295586.R01.S.doc Version 5.2 Page 26 - 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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