Inspection on 20/10/08 for Park Lodge Care Home

This inspection was carried out on 20th 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge Care Home 01/07/10

Park Lodge Care Home 14/04/10

Park Lodge Care Home 22/10/07

Park Lodge Care Home 15/05/07

Park Lodge Care Home 04/10/06

Park Lodge Care Home 22/05/06

Park Lodge Care Home 05/10/05

Park Lodge Care Home 11/05/05

Park Lodge Care Home 07/10/04

Park Lodge Care Home 05/05/04

Park Lodge Care Home 16/12/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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: Park Lodge Care Home 6 Victoria Drive Wimbledon London SW19 6AB     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: Sharon Newman     Date: 2 0 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 © (2008) 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: Park Lodge Care Home 6 Victoria Drive Wimbledon London SW19 6AB 02087895822 02087857449 park.lodge@fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Marilyn Roque Type of registration: Number of places registered: care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The Registered person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP (maximum number of places: 20) Dementia - Code DE (maximum number of places: 40) The maximum number of service users who can be accommodated is: 60 Date of last inspection Brief description of the care home Park Lodge is a registered home providing nursing care for up to twenty older people and residential care for up to forty older people, ten of whom may have dementia. The home is owned and managed by Four Seasons Health Care, an organisation that has Care Homes for Older People Page 4 of 28 40 0 Over 65 0 20 Brief description of the care home similar services across the country. The home is situated in a residential area on the borders of Wimbledon and Wandsworth, close to local shops, churches of a number of denominations and regular bus services. Accommodation is provided over three floors with the home split into four single units. Each unit has a lounge, dining room, bathrooms and toilets. All bedrooms are single. Service users have access to a large garden around the home and a roof top terrace. The home is serviced by two lifts, one lift for service users and the other being a service lift. Fees range from £455 to £590 per week. 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 quality rating for this service is two star. This means the people who use this service experience good quality outcomes. The inspection of this home incLuded an unannounced visit to the service on 20th October 2008 by two regulation inspectors. We spoke to the manager, deputy manager and service manager.We also spoke to care staff and residents. Documentation looked at included medication records, staff recruitment information, residents care plans and health and safety documentation. A tour was also taken of the premises. Care Homes for Older People Page 6 of 28 The manager has also completed a self assessment of the home which is called an AQAA. Some surveys were returned from staff, residents and relatives. 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. Full assessments of need are in place to help to ensure that residents needs can be met. Evidence: Assessments of need were seen in the residents files that we looked at. These covered many areas including social, psychological and activities of daily living. For those residents funded by social services the initial assessment is carried out by a social worker. Senior staff from the home then visit the residents to make sure that the home will be able to meet their needs.Prospective residents are assessed using a dependency assessment tool which is very detailed and enables a comprehensive care plan to be drawn up from the information gathered. Residents and relatives meetings are held at the home to enable them to put forward their views and suggestions. The manager wrote in her AQAA (self assessment of the Care Homes for Older People Page 10 of 28 Evidence: service) that they encourage relatives to be more actively involved with the social care of the residents.She also wrote that they encourage a caring cheerful and friendly home atmosphere. The home has been allocated a link social worker who is employed by Wandsworth Social Services. They work closely with the home and help to re-assess the needs of the people at this home. A relative told us that the general care is good and I feel that (my relative) is always well dressed and looked after. The staff seem warm and caring with residents. Another said the staff know and understand (my relative) and treat (them) with kindness, respect and dignity. Several residents spoken to as we viewed the premises were positive about the home. Comments made included “I’ve no complaints It’s a nice home very clean. You get a choice of meals and the food is good. I like it here. 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. The recording in the care plans and risk assessments has improved and they are detailed and kept up-to-date. A range of external professionals are involved in the health care of the residents to help ensure that their needs are met. There are good audit systems in place to check medication recording and administration. A training programme is also in place to help ensure that staff record and administer medication safely. Evidence: We looked at seven care plans and found them to be detailed and informative. They were individual to the residents and covered areas such as wound care, sleeping, behaviour, end of life care, personal hygiene and nutrition. Risk assessments were seen covering areas including: use of bedrails, continence, nutrition, falls, moving and handling and pressure areas. The care plans also contained information about Care Homes for Older People Page 12 of 28 Evidence: residents social interests. We also saw evidence of visits from health professionals such as district nurses, GPs, opticians and speech and language therapists. The care plans are audited as part of the homes quality assurance process and we saw the deputy manager checking the quality of the care plans during our visit. In her AQAA, the manager reports that she feels that the care plans and risk assessments have improved. There is now a programme of diabetes training for both nursing and care staff so that they can help to meet the needs of residents with this condition.Records of attendees are kept so that the home can monitor who attends this training. There is also an ongoing programme of training in wound care and continence care. As the home is going to take in more people with a diagnosis of dementia staff have been attending training in dementia care so that they are aware of the complex needs these individuals may have. The manager also reported that staff were receiving training in end of life care and that they liaise with a local hospice for advice in this area.She said that specialist nurses from this hospice visit residents at the home. We discussed with the manager that we had seen some topical creams in two residents rooms and also a tube of denture cleaning tablets. These could present a risk to some residents. She reported that these would be removed. The medication room was locked securely to help ensure the safety of the people who use this service. Medication administration records (MAR) looked at were fully completed apart from one missing entry. Allergies were recorded on the MAR sheets and if none were known then this was stated. Medication audits are carried out three monthly by the home as part of their quality assurance programme. Also a recent external audit was carried out and the outcome of this was good. There is a medication training programme in place which is held by an external agency, records of attendance were seen and staff spoken to confirmed that they had attended. 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. Activity provision is improving and there is now more information about residents social needs in their care plans although more external activities should be offered. Family and friends continue to be welcomed into the home. Meals are eaten in a relaxed and unhurried atmosphere and the food looks appetising and nutritious. Evidence: Activity provision at the home is improving. However we did receive some comments from respondents to our surveys who reported that this area could be improved upon further and also suggested that more external trips and activities would be beneficial. We discussed this point with the manager who said that she agreed but that they have tried to put much effort into this area this year. She has now employed a full-time activities co-ordinator and is in the process of employing a part-time one. We saw the activities co-ordinator working with some of the residents in the activities room. The co-ordinator is now undertaking a specific activities course. We saw some Care Homes for Older People Page 14 of 28 Evidence: residents engaged in knitting, others playing dominoes and some listening to music. There is a sensory room attached to the activity room and there is also a cinema room and a cafe area for the residents.An entertainer has been hired to visit monthly and another entertainer is in the process of being hired. The manager reported that anyone wishing to provide entertainment at the home is invited to visit and go through their act and then the residents are asked to choose if they wish to have them employed by the home.The manager wrote in her AQAA that they felt activities could be further improved by having more outdoor activities with the involvement of the relatives. The manager also reported that other activities available include: aromatherapy, music therapy, gentle massage and reminiscence. Also an animal farm visited recently and gave residents the opportunity to interact with the animals. The manager told us that they have just started a choral group consisting of interested residents who would perform carols at Christmas. She was also planning a Christmas party with entertainment for the residents. We discussed with the manager that one response to our survey had mentioned that the music playing in the entrance area was inappropriate and too loud. However the manager introduced us to one of the residents who likes to listen to a pop music station and changes the channel from classical to this station as they enjoy sitting beside the radio and listening to it.She said she does try to strike a balance and that when they are not listening to the pop music channel she will put on a different channel. A residents and relatives meeting was held in July and we saw posters for the forthcoming one. Items discussed at the last one included the last inspection report, staffing, social activities, planned improvements, relatives involvements in the care plans, menus, laundry and advocacy. Lunchtime was observed to be peaceful and residents were not rushed. Those that needed assistance were helped tactfully by a member of staff sitting beside them. The food served looked nutritious and well-presented and residents were given a choice of two courses one of which was vegetarian.There was a mixed response by residents when asked about the food, one said that the pastry was hard(today) but then went on to say that they liked the food.Another said that the food was as good as it can be.Another reported the food is normally alright. One said the food is alright to taste, but I would like corn beef hash. Another resident told us the food is nice. one said that they would like more than just two fish fingers. Residents said that they get a choice and this was seen on the menu. Care Homes for Older People Page 15 of 28 Evidence: The residents all looked well cared for and were appropriately dressed. Care Homes for Older People Page 16 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. Complaints are taken seriously and fully investigated. Safeguarding vulnerable adults procedures are followed to help ensure the safety of the people who live here. There is training in place to help staff understand the importance of reporting any suspected abuse. Evidence: A complaints log is kept at the home with full details of complaints and allegations. Any safeguarding adults issues have been referred to Wandsworth Local Authority for them to investigate. Information about how to make a complaint was on display in the entrance area of the home. There is a rolling programme of safeguarding vulnerable adults training (SOVA) for staff to attend to ensure that they are aware of their responsibilities in this area. Posters and information was displayed around the home to ensure that staff and visitors are aware of the importance of this subject.There is a whistle blowing procedure in place so that staff can raise any issues about poor practice.The manager also told us that she has an open door policy so that staff should feel confident to approach her with any issues. The home informs us of any notifiable incidents by sending us details of these to Care Homes for Older People Page 17 of 28 Evidence: ensure we are kept informed of any adverse events. Care Homes for Older People Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some areas within the home have been redecorated and these help to create a homely and comfortable atmosphere. A programme of redecoration needs to continue for those areas which still require refurbishment. The home is clean and hygienic. Evidence: The home is divided into five units over three floors, each unit has its own lounge, kitchenette and dining area. Some improvements have taken place to the environment since our last inspection visit. Two new shower rooms have been installed and a new adapted bath. Many of the lounge areas throughout the home have been redecorated and re-carpeted and these areas look much fresher and brighter. New armchairs have been purchased as well as coffee tables and flatscreen TVs. The service manager told us that more work is planned for next year. We could see that there are still areas that need to be addressed, such as many of the toilet and bathroom areas. One bathroom area on the first floor had a stained and marked floor and peeling paintwork. This area must be redecorated as part of the refurbishment Care Homes for Older People Page 19 of 28 Evidence: programme. There is a garden for the use of residents and some were seen sitting out there during our visit. There is also a large room being used as a cinema and cafe, a sensory room and activities area. The manager told us in her AQAA that new profiling (adapted) beds,mattresses, bedside tables and duvets have been bought for residents. There is a passenger lift for easier access to all floors. Residents spoken to reported that they liked their bedrooms. Some were seen to have been highly personalised with their own belongings whereas others are more basic. The manager acknowledges this in her AQAA and writes that they could improve by refurbishing residents rooms and making them more personalised. A resident told us that they liked their room and two more said that their rooms were lovely. One said that their room was nice. The manager wrote in her AQAA that she feels the home is clean,smell free and has a happy caring atmosphere. The home was clean and free from offensive odours on the day of inspection. Care Homes for Older People Page 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels were seen on the day of inspection, however the home should ensure that when residents needs increase the staffing levels reflect this. Appropriate recruitment checks are carried out to help to ensure the safety of the people who live here. Staff training is taking place to enable staff to meet the needs of the residents. Residents speak highly of the staff. Evidence: A relative told us that when staff are off sick they believe that this can put pressure on other staff. Also one staff member did suggest to us that when people are off sick there can be a difficulty covering the shifts particularly at the weekends and that they are very busy. They also suggested that domestic staff are then used to make up the numbers of care staff. We discussed this with the manager and service manager who said that this does not happen. They said that have staff who are trained as care staff and also employed as domestic staff. When the home is short of staff due to sickness then these staff members are asked to cover the hours as a member of bank care staff. They said that it is not the case that domestic staff are asked to help out when Care Homes for Older People Page 21 of 28 Evidence: they are being employed on a domestic shift. We spoke to a member of domestic staff who reported that they have never been asked to undertake care duties.We did however discuss with the manager that as the home will now be admitting more people with dementia that they should make sure that staffing levels are high enough to cope with this change.The manager reported that the home does not use staff from an agency to try to ensure that residents receive continuity of care. We received seven replies from staff to our survey,they all stated that there was usually enough staff to meet the needs of the residents. Sufficient levels of staff were seen on the day of inspection. We looked at eight staff recruitment files and they contained all the necessary information required to help ensure the safety of the residents including evidence of Criminal Record Bureau (CRB) checks and references. Staff training continues to improve and we could see from looking at the staff training records that there is a rolling programme of mandatory training in areas such as moving and handling, health and safety, food hygiene and SOVA. There is also more specialised training available including: dementia care,wound care, continence and diabetes care. Regular staff meetings continue to be held to ensure that staff have an opportunity to voice their opinions and these meetings also help them to remain up-to-date with developments at the home. One resident told us we have two beautiful new carers and also one who is more like a mum than a carer - all the staff are nice.Another said the staff are very good - they look after you. A relative wrote my (relative) cannot always make (their) choices clear, but the staff do their very best to understand and help (them). A staff member told us that they try to provide a warm and friendly atmosphere, with caring and professional staff. Care Homes for Older People Page 22 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-run and many areas have improved, all the requirements from the previous inspection have been met. There is a clear management structure in place which benefits the running of the home. Relatives and residents views are sought regarding the running of the home. There are clear audits in place to ensure that finances are regularly checked. There is a good system of health and safety checks. Evidence: There have been improvements across many areas at the home since our last inspection visit. The level of recording has improved in documentation such as care plans and risk assessments, the cleanliness of the home has also improved and Care Homes for Older People Page 23 of 28 Evidence: progress is being made with refurbishment of the environment. The manager has now been at the home for seventeen months and told us that she has found this time challenging but enjoyable. We did discuss with her that many of the improvements at the home have been due to her hard work and also that of her new deputy manager. She said that many care and domestic staff have also worked hard to support her and the changes she has been making and that she has had support from her service manager. Both the manager and deputy manager are registered nurses with years of experience in the care of the older person. In her AQAA the manager states that the he has a gerontological qualification and a care of the dying qualification and that the deputy manager has a dementia care qualification. There is a quality assurance system in place which is very comprehensive and looks at all areas of the home including maintenance, care management, pharmacy, staff training, health and safety, activities and nutrition. An annual customer survey has also been carried out to obtain the views of those who use the service. Finance audits take place to help ensure a clear financial trail. Health and safety checks such as electrical installations and portable appliance testing were up-to-date. From the documentary evidence we saw - the home has a comprehensive system of health and safety checks in place. We also saw records indicating that two fire drills have been carried out this year. Records are kept of staff one-to-one supervision and from these we could see that this is taking place which is important as it helps to ensure that staff receive the support they need to develop their roles. A relative wrote there have been a great deal of improvements at the home especially since the new manager has taken over. The staff are always friendly, polite and helpful. A visitor said our friend is well cared for and the home is well run. Another said said I have nothing to complain about and a relative told us I feel the home does not require any improvements. One relative wrote that Park Lodge seems to have improved in all respects, especially in general cleanliness and refurbishment of surroundings, over the past year since (the new manager) replaced (the previous manager). Since the last inspection the home has continued to improve. The manager is committed and works hard to achieve the results seen today. Care Homes for Older People Page 24 of 28 Evidence: Systems in all areas in the home are in place and are being actively monitored by senior staff. Care Homes for Older People Page 25 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 26 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 19 23 The first floor bathroom, sluice and toilet area must be refurbished and repainted. This is to benefit the residents as this area currently does not look homely or attractive. 02/02/2009 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 9 The home should ensure that all topical creams and lotions are kept securely. Risk assessments need to be in place for those residents who wish to keep these items in their bedrooms and they should be kept out of reach of other residents or visitors. 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 © (2008) 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!