Inspection on 08/11/06 for Knightsbridge Lodge

This inspection was carried out on 8th November 2006.

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

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

Other inspections for this house

Knightsbridge Lodge 18/08/09

Knightsbridge Lodge 17/09/07

Knightsbridge Lodge 21/02/06

Knightsbridge Lodge 17/02/05

Knightsbridge Lodge 18/08/04

Knightsbridge Lodge 27/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Knightsbridge Lodge Knightsbridge Green Cheltenham Glos GL51 9TA Lead Inspector Mrs Eleanor Fox Key Unannounced Inspection 8th November 2006 09:15 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 Knightsbridge Lodge DS0000016488.V314549.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. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Knightsbridge Lodge Address Knightsbridge Green Cheltenham Glos GL51 9TA 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) 01242 680168 Mrs Ann Dorothy Easdown Mr David Easdown Mrs Carol Ann Coates Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st February 2006 Brief Description of the Service: Knightsbridge Lodge is situated approximately a quarter of a mile from the main Tewkesbury Road near the hamlet of Knightsbridge. The home is conveniently positioned about six miles between Gloucester and Cheltenham. The house was originally a Victorian Toll House and has been sympathetically extended to provide accommodation for 22 older people. Bedrooms are positioned on the ground and first floor; a shaft lift provides access to the first floor. All bedrooms have wash hand basins and three rooms have en-suite facilities. All the rooms are single occupancy. Well-equipped bathrooms are provided on each floor with a shower room on the ground floor. Toilets are provided within close proximity of all bedrooms and communal areas. On the ground floor there are two lounges and one dining room. The home is decorated and furnished to a high standard. The attractive gardens are well maintained and fully accessible to all residents. The provider supplies information about the home, including the most recent CSCI report to anyone who has expressed an interest. The details are maintained in a file, which is displayed in the front hall of the home. Current fees range from £349 to £450. Hairdressing, chiropody and any personal items are charged extra; the individual prices are available on request. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection of Knightsbridge Lodge over two days in November 2006. During the visit, she chose the care of three of the residents for particular scrutiny. She spoke to each of these people, read their care records, visited their bedrooms and, where possible, observed their interaction with members of staff. The inspector read selected personnel and recruitment records, walked around the property, observed the service of a mid day meal and joined a large group of residents for more general conversation during her visit. She also spoke with some of the staff who were on duty on these days. Finally, she had the opportunity to talk to the Proprietors, the Manager and the Administrator, particularly in relation to general management issues. All were open and most cooperative in providing information as requested. CSCI surveys were distributed to residents, relatives and members of staff working at the home. Nine were returned from residents; four completed surveys were received from staff and six comment cards were sent in from relatives and advocates. Many of their comments and opinions are reflected in the content of this report. What the service does well: Prospective residents are fully assessed by staff working at Knightsbridge Lodge to ensure that the home is able to meet their needs. They are also provided with every opportunity to learn as much as possible about the home before they make a final decision about moving in permanently. Well-considered care documentation is prepared for each person; the thorough content gives clear details to the carers of the particular needs of each resident. Medication administration is also managed well. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 6 Staff working at the home have developed good working relationships with residents and their families. Seven people commented on the friendly welcoming atmosphere at Knightsbridge Lodge. A programme of activities is arranged for the residents; these are much appreciated and enjoyed by the majority of the residents. When possible, friends and family are invited to take part in special events at the home. A very good standard and variety of food is served at Knightsbridge Lodge; every effort is made to satisfy individual needs and preferences. Residents are accommodated in most attractive and comfortable surroundings; the furniture and furnishings have been chosen to suit the needs and preferences of the people living in the home. Employees are subject to robust recruitment procedures and have the opportunity to attend training appropriate to their work. What has improved since the last inspection? 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. Knightsbridge Lodge DS0000016488.V314549.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 Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A comprehensive assessment process plus the provision of literature about the home, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: A contract outlining the terms and conditions for admission to the home, had been provided to each of the residents who were selected as part of a case tracking exercise during the inspection of the home. Signed copies of the completed documentation were seen in their personal files. Detailed information about all the charges is provided in line with recent changes in legislation. Full assessments are undertaken on each prospective resident; completed records relating to these visits were seen in the care files. It was evident that a very comprehensive assessment is undertaken to ensure that the home is able Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 9 to meet the prospective resident’s needs. The Manager and a senior member of staff normally take responsibility for undertaking these processes. The home also retains the Social Services Assessments or reports supplied by any individuals previously responsible for providing care to this person. All are used for reference during the admission processes. Two residents described their initial visits to the home prior to admission; another explained that a member of her family had looked around a number of homes in the area before she had moved into Knightsbridge Lodge. Each person spoke positively about the reception received at the home. The staff had been friendly and welcoming, answering questions and providing reassurance. Each person is admitted on a trial basis before any final decision about permanent admission is agreed. Intermediate care is not provided at this home. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care documentation provides the staff with the guidance they require to care for the residents’ needs, good care is delivered to the people living at this home. Medication systems are managed well, ensuring that residents should not be put at any risk of potential errors; some minor improvements are now recommended. Residents are also treated with courtesy and respect. EVIDENCE: Care plans are prepared for each person based on a general assessment of the resident’s care needs. The care records relating to the three selected residents were read in detail on this visit. It was evident that the resident had been involved in the preparation of these plans, having signed the completed documentation. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 11 Clearly written specific care plans are prepared to address any identified care needs. These are reviewed and updated appropriately, and provide explicit guidance to staff. Risk assessments are also completed appropriately. Pressure relief equipment is supplied as and when appropriate. Any visits from medical and care personnel are documented, as is any advice or instructions provided. Records relating to District Nurse visits are maintained with the other care files for ready access. It was also recorded in the selected care files that residents had received chiropody and dental care. One gentleman attended an out patient hospital appointment during the inspection. The medication administration systems relating to the three selected residents were observed on this occasion. Medication storage and the management of controlled drugs were also inspected. It was observed that all the medication storage cabinets were securely locked, including the dedicated refrigerator. Drugs were administered and stored correctly; controlled medications were also managed appropriately. Arrangements are in place for the self-administration of medications, where requested. This is managed correctly with the completion of appropriate risk assessments and the provision of secure storage in the resident’s bedroom. Those members of staff responsible for administering medications have had formal training in the processes; further training is being sourced for selected carers in the home. It is recommended that a recently published pharmaceutical reference book be provided to aid staff when administering medications. It is also recommended that another witness should countersign any handwritten records in the medication administration sheets, which have been completed by a member of staff. Throughout both days of the inspection, members of staff were observed and overheard addressing the residents in a respectful but friendly and encouraging fashion. All personal care appeared to be given behind closed doors. Carers and other staff were also observed knocking on doors prior to entering bedrooms. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Opportunities are provided for varied and stimulating activities and social contacts, as desired. Residents are enabled to exercise choice in their daily lives. The meals are nutritious and balanced, offering a good choice and variety to the people living at Knightsbridge Lodge. EVIDENCE: During conversation, residents confirmed that they are able to get up and retire when they wished and to spend their days how they would like, within their own capabilities. They did comment that they enjoy the activities when they are arranged. Three people described the firework evening, which had recently taken place. This had evidently been a very popular event, with residents, staff and their families all enjoying the display and the food provided. A varied programme of activities is developed to suit the respective tastes of the residents. It was evident in the minutes of a residents’ meeting that suggestions were actively encouraged and efforts made to satisfy particular requests. A mobile library visits regularly and there is wide selection of games and films available in the lounge for residents to enjoy. One person with a Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 13 sight problem particularly enjoys trips out in the minibus; another appreciates the musical events, saying, “I enjoy a singalong”. Friends and relatives are welcome to visit at any time so long as the resident is content to see them. Families are invited to attend special events when they are arranged at the home. The majority of relatives who responded to the questionnaires were extremely supportive of the home and the staff working there, one person writing, “The care is excellent. I would have no reservation in recommending this care home to anyone.” Another said, “The care provided is above and beyond the call of duty. It is a lovely homely place”. Staff were observed offering residents choice during the day, particularly about food, how they spent their day and about the care they received. Advice on how to source advocacy, if required, is displayed prominently in the home. The service of the mid day meal was observed on this visit. The majority of residents sat at small tables in the large friendly dining room with a few preferring to remain in their bedrooms. They were provided with a good choice of food and the meal appeared to be a congenial time with a lot of conversation at the individual tables and with the staff who were serving the food. Every resident who was questioned spoke most favourably about the meals with one person commenting that, “You get what you like and you like what you get.” Another said, “They always find something that I like.” Only one person said, “The food is OK – nothing special”. Particular care was given to assist one person who was unable to see what had been served on his plate. The kitchen was clean and tidy; appropriate cleaning regimes were in place. Issues identified at the last Environmental Health Inspection have been addressed with one outstanding area to be rectified. Arrangements are now being made to deal with this issue. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. Residents are offered a good level of protection against abuse. EVIDENCE: A comprehensive Complaints Procedure has been prepared for Knightsbridge Lodge. A copy of the document is provided to each prospective resident and/or relatives with other information about the home. One person said, “I always speak to head staff if I have any concerns”. Another was aware of the procedures but said, “I have nothing to complain about”. The home provides a fully documented policy to address all forms of abuse. The policies are readily available for staff to read. Abuse issues are covered in the induction processes, and in the National Vocational Qualification in care. Additional staff are booked to attend further formal training on the subject later in the year. POVA (Protection of Vulnerable Adults) legislation is correctly followed at this home. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The residents are provided with a good standard of clean comfortable accommodation. EVIDENCE: During a walk around the building it was observed that the whole home was warm, well ventilated, clean and fresh. The garden was also well maintained. Attractive furnishings and sturdy furniture has been provided throughout the property to suit the needs of the residents living at Knightsbridge Lodge. A visit was made to the bedroom of each person who had been selected for case tracking. All the rooms had been personalised with photographs, treasured possessions and in some cases, some small items of furniture. All were homely in appearance. The furniture has been carefully arranged in one room to suit the needs and preferences of the person accommodated there. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 16 The whole property was clean and fresh on both days of the inspection; there was no evidence of any offensive odours in any area. The laundry was tidy and organised with washing segregated appropriately. Residents’ clean personal clothing was discreetly named and stored separately in preparation for return to their bedrooms. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents at Knightsbridge Lodge receive care from a competent stable workforce. Staff are subject to robust recruitment processes. EVIDENCE: There were twenty- two residents living in the home at this time. During the inspection it was observed that there were always at least two carers on duty each morning, two carers each evening and two carers (one sleeping) during the night to care for the residents. Those questioned considered that these numbers were adequate at the current time as only four people were assessed as having high dependency needs. Of the eleven carers employed at the home, six have achieved a National Vocational Qualification, Level 2 or equivalent, and two are waiting to start the training. One person is now working towards an NVQ, level 3 in care. The home exceeds the standard that 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent. Personnel files relating to the five staff employed since the last inspection were read in detail. Each person had completed an application form providing a full employment history. Records had been maintained of the interview processes Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 18 and POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed. Two written references were provided for each applicant. There was also clear evidence that each person had been fully inducted to his or her respective post. Full records are maintained of all the training undertaken in the Home. These indicated that most of the staff had attended the required mandatory training and, where any gaps had been identified, arrangements were being made to address the issue. Additional training needs are also addressed as required. One person explained that she had attended training in manual handling, food hygiene, first aid, continence care and dementia care. Some of the staff have been booked to attend a seminar on ‘Protection of Vulnerable Adults’ at the end of November. Knightsbridge Lodge DS0000016488.V314549.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 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 judgement has been made using available evidence including a visit to the service. There are good management systems in place to ensure that the financial interests, and the welfare of people using the service are safeguarded. However, there are some health and safety issues, which require urgent attention. EVIDENCE: The registered manager has had good experience in caring for elderly people; she has recently completed the Registered Manager’s Award and has gained a National Vocational Qualification, level 4 in care. Verbal comments and remarks in the completed questionnaires show that the manager is well respected by the residents, their families and the staff. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 20 There are procedures in place to monitor the quality of the service provided by Knightsbridge Lodge. Quality assurance questionnaires are provided to residents and their families although only a limited number have been completed. Residents’ meetings are arranged at least twice a year; it was clear in the minutes of one of these meetings that residents’ suggestions about improved activities have now been addressed. The supplying pharmacist audits medication processes in the home. The proprietor does not yet monitor the performance of the home on a formal monthly basis, as is required, although she is present in the home very regularly. The administrator looks after the personal monies for some of the residents. These are kept in individual containers and are locked away securely. All transactions are fully documented and countersigned. Checks of the files relating to the residents selected for case tracking showed that these are all recorded accurately. Each resident’s status in relation to ‘Power of Attorney’ is also maintained on file. Health and safety is generally addressed reasonably well at this home. Records were provided to show that maintenance of equipment is addressed in a timely fashion. Fire prevention management is addressed particularly well with clear records maintained and training needs covered appropriately for all grades of staff. However, the hot water systems require urgent attention as records of water temperatures tested at outlets show that these have seriously exceeded safe levels throughout 2006. The home was also not able to demonstrate that the hot water systems have been tested for Legionella. These matters are now being addressed. In the meantime, warning notices have been sourced to alert users to the hot water risk. Knightsbridge Lodge DS0000016488.V314549.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 x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP33 Regulation 26 Requirement The registered provider must inspect the home and provide a report to the Commission for Social Care Inspection once a month. The home must demonstrate that the hot water systems are free from Legionella. The hot water temperatures at outlets must be maintained at safe levels. Timescale for action 31/12/06 2 3 OP38 OP38 13(3 & 4) 13(4) & 23(2j) 28/02/07 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP9 Good Practice Recommendations It is recommended that a recently published pharmaceutical reference book be provided to aid staff when administering medications. It is recommended that another witness should countersign any handwritten records in the medication administration sheets, which have been completed by a member of staff. Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Knightsbridge Lodge DS0000016488.V314549.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!