Inspection on 23/10/08 for Magdalen House

This inspection was carried out on 23rd October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Magdalen House 01/11/06

Magdalen House 15/03/06

Magdalen House 24/08/05

Magdalen House 07/03/05

Magdalen House 27/09/04

Magdalen House 16/02/04

Magdalen House 22/09/03

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Magdalen House 98 London Road Gloucester GL1 3PG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Adam Parker     Date: 2 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Magdalen House 98 London Road Gloucester GL1 3PG 01452386331 01452300853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Hazel Newman Type of registration: Number of places registered: The Gloucester Charities Trust care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 30. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Magdalen House is a purpose built care home, which provides nursing care to twentynine elderly residents. The home is within walking distance of the city of Gloucester and is on a main bus route. A qualified nurse is on duty at all times. Health care services are available to all residents. The accommodation is arranged on two floors, accessed by a large passenger lift. There are twenty-seven single rooms and one double room, all with ensuite facilities. There are four well equipped bathrooms to suit all needs and level of ability. All rooms have a call bell. The communal areas include comfortable lounges on each floor, a dining room attached to the lounge on the ground Care Homes for Older People Page 4 of 28 Over 65 30 0 Brief description of the care home floor, a garden room and seating in the reception area. There is level access to the spacious gardens that surround the property. There is a daycentre adjoining Magdalen House. This area is used by other organisations, and also for evening and weekend functions arranged by the home. Residents from the warden-controlled flats, within the complex, also have access to the homes catering facilities if they wish. 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 are 695 pounds per week. Hairdressing and any personal items are charged extra; the individual prices are available in the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection visit was carried out by one inspector on one day in October 2008. The registered manager and the was present for the inspection visit that consisted of a tour of the premises and examination of residents care files. In addition staff recruitment and training was looked at as well as documents relating to the management and safe running of the home. A sample of residents were selected for inspection against a number of outcome areas as a case tracking exercise. Survey forms were received from residents, their relatives, General Practitioners (GP), a health care professional and staff working at the home. Two residents and two visitors were spoken to during the inspection visit. We requested an Annual Quality Assurance Assessment (AQAA) from the home and this was provided, it was comprehensive and gave us the information we asked for. Care Homes for Older People Page 6 of 28 The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes admission procedure ensures that all residents are admitted on the basis of a full assessment of their needs so that they can receive the care that they require. Evidence: Assessment documentation for a number of residents was looked at and a discussion was held with the registered manager. A comprehensive pre admission assessment had been completed before the resident had been admitted to the home. Where residents had been admitted from hospital or another care home then information had been obtained from these sources as well as from relatives. Where funding arrangements were in place, assessments and care plans had been obtained from funding authorities. The home does not provide intermediate care and so standard 6 does not apply. Care Homes for Older People Page 10 of 28 Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the home works well to meet residents health and personal care needs and upholds their privacy and dignity, some improvements are needed in the recording of medication administration and with storage arrangements. Evidence: A number of residents care plans were examined. These were detailed and described specific needs and how these would be met through interventions. Care plans addressed a wide range of assessed needs including mobility, pressure area care and memory loss. A care plan for personal hygiene for a resident with diabetes demonstrated how the home would liaise with a chiropodist in terms of specific foot care needs. Care plans included areas for the resident to sign the care plan following consultation. One care plan looked at had been signed on the residents behalf by a relative. Care plans had been evaluated on a monthly basis. A detailed daily record had been maintained for each resident. Two residents had been receiving input from mental health services. There was no documentation on file relating to the Care Programme Approach (CPA) to check if the residents care plan was in line with this. Care Homes for Older People Page 12 of 28 Evidence: The home should find out if arrangements are in place under the CPA and if so request a copy of related documents and request involvement in any future review meetings. Four residents who returned survey forms indicated that they always received the care and support they needed. Risk assessments had been completed for pressure area care, moving and handling and falls. In addition a specific nutritional assessment tool was in use where the residents needs indicated this. There was recorded evidence of residents receiving input for their health needs from visiting professionals such as GPs and chiropodists. A number of care plans addressed health care needs and there were actions for liaison with various health care professionals. Wound assessment charts were in place for some residents, these were detailed and had been kept up to date. On a survey form, one GP stated that the home made Appropriate use of our medical services. Four survey forms were received from residents and all of them indicated that they always received the medical support they needed. Medication storage and administration systems were looked at. Medication was stored securely. Although with the exception of the refrigerator no storage temperature monitoring was in place. Records of storage temperatures for the refrigerator were looked at and showed that temperatures were below freezing and too low for medication that required refrigeration. Generally medication was being dated on opening as an indication of the expiry date. Controlled medication was stored securely with appropriate records of administration kept. Examination of the Medication Administration Records (MAR) showed that there were some areas where administration had not been recorded or if it had not been given then no omission code or an unrecognised code was used. These included some medication due to be given at 12 noon.This was discussed with the registered manager who was made aware of where and when recording had not taken place. There was varied practice regarding the signing, dating and checking of handwritten directions on medication administration charts. Some staff had been signing handwritten directions with another member of staff signing as a check although in some cases only one signature had been recorded. Medication audits had been carried out. One resident spoken to confirmed that staff knocked on the door before entering their room. The one shared room looked at had curtains in place to maintain the privacy and dignity of the residents occupying the room. on a survey form,a relative of a resident confirmed that the service repected individuals privacy and dignity. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from good social contact and activities with a variety of meals planned through consultation about their preferences. Evidence: A variety of social activities are provided both inside and outside of the home. On the day of the inspection visit a number of residents were going out on a minibus trip. On their return, residents spoken to stated how they had enjoyed the trip. The home has input from an activities coordinator one afternoon a week The coordinator is shared with another care home run by the registered provider. At other times care staff are involved in organising activities. These include gardening in pots outside of the home when the weather allows and indoor activities such as quizzes and one to one activities. In addition a music and movement exercise session is held once a month as well as various musical entertainers and a visiting theatre group. Televisions are provided in individual rooms and a number of residents had expressed an interest in receiving cable or satellite television. However for various reasons the registered provider had decided not to pursue this. The home has its own chapel and a chaplain shared with the adjoining almshouses. Services are held in the chapel and the chaplain Care Homes for Older People Page 14 of 28 Evidence: is available to visit any residents at their request. The home operates a policy of open visiting. On a survey form received by us a relative of a resident commented Visitors are always welcomed. Visitors are able to take meals in the home by prior arrangement. Information about advocacy services is available in the home. Residents are able to personalise their individual rooms with a number of items including furniture. The home had a menu that changed every week for five weeks. The menu stated that a vegetarian choice was always available with notice. On a daily basis, breakfast is provided with a choice of cereals,toast or cooked meal with prior notice. Lunch is a cooked meal with dessert and tea is a cooked snack with dessert. The chef meets with residents in the morning to discuss any individual preferences. This was confirmed by one resident spoken to who described the meals as Pretty good. On one survey form a resident commented about the meals. The home always offers a choice which is good. A relative of a resident who had occasional meals in the home commented on a survey form. the meals are varied and nutritious. Lunch was briefly observed in the dining room where a number of residents were eating. Staff were giving assistance where required. Some residents were taking their meals in their individual rooms. Residents who took their meals in a pureed form had these presented with individual portions of the meal pureed separately. In addition moulds are available to provide a more attractive presentation. Although records had been kept of the dietary intake of residents where there were concerns, there was no system for recording any special diets provided. Two residents were being provided with a special diet, one vegetarian and the other gluten free. A record of the meals provided to them must be made so that dietary intake can be checked. On the day of the inspection visit it was noted how the kitchen was busy providing meals not only for the residents but for visitors, the day centre and a luncheon club. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available if any resident or their representative should wish to make a complaint. More staff training should ensure that residents are better protected from abuse. Evidence: Information about how to make a complaint is available in the entrance to the home along with other information about the service. On all surveys received from residents and their relatives they indicated that they knew how to make a complaint. One resident spoken to said that they would approach the manager or the deputy if they had a complaint. The home had not received any complaints in the last twelve months prior to the inspection visit. In relation to residents legal rights, the home has information on the Mental Capacity Act 2005 and training has been provided for some staff with more planned. The home has information available about local advocacy services that could be used by residents. Following a requirement at the previous inspection a number of staff had completed the Alerters adult protection training provided by the local authority. The registered manager had also completed an enhanced version of the training. However in order to ensure that all staff are equipped with the knowledge to protect Care Homes for Older People Page 16 of 28 Evidence: residents from abuse, more staff should undergo training in adult protection. Staff had also received training in dealing with aggressive behaviour. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are accommodated in a well maintained and clean property with on going upgrading that is designed and furnished to suit their needs. Evidence: A tour of the premises was undertaken. All areas of the home inspected were found to be clean and well maintained. There are well kept grounds around the home with car parking at the front. A small courtyard with a water fountain provided with seating is available for use by residents when the weather allows. The home has a chapel shared with the adjoining almshouses that has been adapted to provide easier access to residents. The entrance hall of the home contained noticeboards about the home and about planned activities. On the day of the inspection visit there was a display relating to Halloween. Residents, rooms were comfortable and contained various degrees of personalisation. The laundry had washable floor and wall surfaces. A hand washing basin had been provided although paper towels were not within easy reach and these should be sighted nearer to the basin. A number of red laundry sacks were on the floor and these had been overloaded. this was discussed with the registered manager who said that staff had been reminded not to over fill these sacks. In the interests of good infection Care Homes for Older People Page 18 of 28 Evidence: control red laundry sacks which contain dirty items must be secured and not over filled. During the inspection a number of staff were seen washing their hands thoroughly between duties. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are deployed and training is provided in a number of areas to meet residents needs. However an improvement in one aspect of the recruitment procedures would more fully protect residents. Evidence: Staffing in the home was arranged so that there was a registered nurse on duty 24 hours a day. From the morning until the early afternoon there were two registered nurses on duty. There were seven to eight nursing assistants on duty in the morning, five in the afternoon and three at night. In addition there were management, administrative and ancillary staff. One member of staff commented on a survey form Magdalen has a good amount of staff on duty for individual needs. The level of NVQ training for nursing assistants was just below 50 although this would increase to over 50 with the completion of the qualification by those staff currently undertaking it. Records for four recently recruited members of staff were examined. In all of the examples looked at application forms had been received that contained employment histories although there were no dates of employment. Employment dates are needed to explore any possible gaps in employment. One member of staff who was no longer Care Homes for Older People Page 20 of 28 Evidence: at the home had not given a full employment history and this evident at a further stage in the recruitment process when references were being sought. The registered manager stated that in one case dates of employment had been explored at interview. However no record had been made of this. Despite this other required employment checks had been made including checks by the Criminal Records Bureau. Checks on the registration of nurses had been made on the website of the Nursing and Midwifery Council (NMC) using a public search facility. However checks should be made using the Employer Confirmation Service available on the same website. The home has a document for induction training that covers the common induction standards for social care in England. An example of this document was seen. Staff have received training in a number of areas. In particular training has been provided to registered nurses in areas relevant to their role. These included catheterisation skills, tissue viability and enteral feeding. In its AQAA document the home identified the need to provide training in dementia care. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed with a variety of quality assurance audits in operation and safety checks to ensure that the home is run in the best interests of residents. Evidence: The registered manager is a registered nurse and has achieved the registered managers award. She has over 18 years experience in working with older people. The registered manager is supernumerary to the nursing and care staff although maintains an involvement in the care of residents. Recently she has completed training in adult protection as well as some clinical nursing training. On survey forms received by us, relatives of residents made positive comments about the registered manager. One stated We appreciate the excellent leadership of the nursing manager which permeates throughout the home. During the inspection visit it was noted that the registered manager had a good relationship with the residents. As part of its quality assurance the home had made use of questionnaires from Care Homes for Older People Page 22 of 28 Evidence: residents, visitors, staff and visiting health care professionals to gain views on the performance of the home. The resident questionnaire looked at included a space to record where issues raised had been followed up. One resident had raised an issue about a call bell and the response of the registered manager and the action taken had been recorded. In addition monthly visits are carried out by the registered provider in line with regulation 26. However some of these were not stored in the home at the time of the inspection visit. Copies of these reports must be kept in the home for reference by the registered manager and inspectors. The arrangements for looking after residents money was looked at and were satisfactory with records kept. A check on the money held for one resident showed this to be accurate in relation to their records. However a valuable item was being held for with no record kept. The administrator showed other examples of records relating to property held on behalf of residents. Should should be used for all property including valuable items. Staff have received training in infection control, food hygiene, food safety awareness, moving and handling, first aid and fire safety. No infection control training had been carried out by domestic staff including those with responsibility for working in the laundry. Such training should be considered for staff with responsibility for working in the laundry in view of the observations made earlier in this report. The home had a fire risk assessment and it was reported that this had been checked during a visit by a fire safety officer. The home has ensured the servicing and maintenance of electrical systems and appliances as well as hoists and the lift. New central heating boilers had been installed in July 2008. Regular checks are made and recorded on hot water temperatures. Any faults had been recorded with remedial action taken. A specialist consultant had carried out work to reduce the risk of Legionella in the home with a risk assessment completed and water testing carried out. A system of checks should be introduced to ensure that all window restrictors are functioning correctly and the management of the home are made aware of any that are not in the interests of residents safety. Accidents had been recorded and audits carried out which the registered manager identified as providing good information about the needs of certain residents. Cleaning materials had been stored securely with correct labels in use for any decanting from large to small containers. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The Registered Manager 28/02/2009 must make arrangements for the recording and safe administration of medications.(This is with reference to the identified shortfalls within this report). This is to ensure that there is an accurate record of all medication given to residents. 2 15 17 When an alternative meal is provided for a resident this must be recorded in detail. This will ensure that a check can be made on dietary intake. 17/01/2009 3 29 19 Before a person starts work in the home, all the information and documentation specified in Schedule 2 of the Care Homes regulations 2001 must be obtained. 31/01/2009 Care Homes for Older People Page 25 of 28 This is to ensure that residents are protected through robust recruitment procedures. 4 33 17 Reports of visits made under 31/01/2009 regulation 26 of the Care Homes Regulations must be kept in the care home. This is so that they are available to the registered manager and for any inspection. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Where residents are receiving input from mental health services, the home should check if Care Programme Approach arrangements are in place and request any relevant information and involvement in any review meetings. All handwritten directions and entries on medication administration charts should be signed and dated by the staff member making the entry and checked and signed by a second member of staff. The temperature in the medication storage room should be monitored and recorded to check that residents medication is being kept at the correct temperature. More staff should undertake training in adult protection. Red laundry sacks should not be overloaded in the interests of infection control. The hand towel dispenser in the Laundry should be moved closer to the hand washing basin. Checks on the registration of nurses should be carried out using the Nursing and Midwifery Councils Employer Confirmation Service. Adopt the good practice as discussed at the inspection for recording property and in particular valuables held on behalf of all residents. Page 26 of 28 2 9 3 9 4 5 6 7 18 26 26 29 8 35 Care Homes for Older People 9 38 Checks should be made on window restrictors to ensure they are functioning correctly in the interests of residents safety. Give consideration to providing infection control training to staff with responsibility for working in the laundry. 10 38 Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!