Inspection on 23/09/08 for Parkview Rest Home

This inspection was carried out on 23rd September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkview Rest Home 22/09/09

Parkview Rest Home 19/10/07

Parkview Rest Home 12/06/06

Parkview Rest Home 27/10/05

Parkview Rest Home 20/07/05

Parkview Rest Home 17/03/05

Parkview Rest Home 02/08/04

Parkview Rest Home 13/02/04

Similar services:

Alderson Road 12

Abbey The

Grayling

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Cranworth Close Registered Care Home

Muston Road (70)

The Cornerstone

John Street Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parkview Rest Home 7/8 North Park Road Heaton Bradford West Yorkshire BD9 4NB     The quality rating for this care home is:   one star adequate 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: Caroline Long     Date: 2 3 0 9 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 30 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 30 Information about the care home Name of care home: Address: Parkview Rest Home 7/8 North Park Road Heaton Bradford West Yorkshire BD9 4NB 01274544638 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Linda Crabtree,Mr Stewart Leonard Crabtree Type of registration: Number of places registered: care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Park View is a detached building that provides accommodation for twenty-three older people requiring residential care. Bedrooms are located on the ground and first floors. There is no stair or passenger lift. The home is adjacent to Lister Park in the Heaton area of Bradford. It is close to local amenities and a bus route. Level access is available to the rear of the property along with a small car park. Well kept gardens are to the front of the home where people can sit and enjoy the good weather. Care Homes for Older People Page 4 of 30 Over 65 4 2 16 1 0 0 0 0 Care Homes for Older People Page 5 of 30 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: one star adequate 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: This is what we used to write this report, We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire. We sent surveys to people living in the home. One inspector visited the home unannounced. This visit lasted over six hours and Care Homes for Older People Page 6 of 30 included talking to the staff and the manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. We spent time talking with people who live in the home and three relatives and a health professional who was visiting. We looked at four peoples care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Information provided by the operational manager on the 10th October indicated that the current weekly fee for the home is from 350 to 450 pounds per week. Additional costs include the provision of extra support by staff, toiletries, hairdressing, holidays, leisure activities and clothes. What the care home does well: What has improved since the last inspection? What they could do better: To make sure people are properly informed the home should have a Statement of Purpose and a Service Users Guide that contains up to date information. To keep people safe and maintain their health any risks must be fully assessed and actions put into place to minimise these risks. People should live in an environment that has an open culture where individuals feel safe and supported to share any concerns or complaints about the service. Peoples complaints must be listened to, recorded and responded to. To keep people safe and to make sure the staff have the right qualities to work with people the provider must be sure all the necessary checks have been completed before a person starts work. To help people keep active and maintain their independence the number of staff Care Homes for Older People Page 8 of 30 working should be reviewed to enable people to participate in social activities both inside and outside the home. To make sure people receive a consistent service, all staff should be provided with supervision every six to eight weeks. 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 9 of 30 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 10 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some peoples needs are assessed before they move into the home however where a person is moved from one of the providers other homes to Parkview this has not always been in the case. Evidence: The manager told us information is made available to anyone interested in moving into the home in the form of the service user guide. However this is brief and would have benefited from more information. The statement of purpose was not available when we visited. The manager explained usually she will visit people at their homes or in hospital and complete an assessment to make sure Parkview will be able to provide a service that will meet their needs. As part of this process she will also gather information from any other agencies involved. Where possible the person is then encouraged to visit the Care Homes for Older People Page 11 of 30 Evidence: home, for a day to provide them with the opportunity to meet everyone and to get a feel for the home. Where people are admitted from hospital the relatives normally visit the home on their behalf. At the previous inspection we asked Parkview to make sure they carried out assessments on people prior to them moving into the home. This is so the staff can be confident they have the skills and equipment necessary to look after the person properly. We looked at two peoples files that had recently moved into the home, to see if this was now happening. Both assessments had been carried out before people moved into the home and one contained good details of every aspect of the persons daily life and health needs. Examples of the information included were religion, daily living, social interests, and nutrition. However the other was brief and would have benefited from more information. There was also a lack of information obtained from other health professionals prior to the person moving into the home. Staff confirmed they had the necessary training to enable them to look after people properly and where necessary had completed some specialist training for instance, dementia care and catheter care. The home does not provide intermediate care. Care Homes for Older People Page 12 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff treat people with respect and dignity. However the lack of assessing and identifying risks can mean people are at risk and their needs are not always identified and met properly. Evidence: Three people living in the home and three relatives all told us they received the care and support they need. Examples of comments made were: Very happy here. Cannot praise them enough about the nursing care. The two surveys received also confirmed this. They also said staff respected their privacy and dignity. They were able to give examples as to how staff did this. Staff were observed providing support in a kind and helpful manner and people were generally clean and dressed in co-ordinating clothes. Two relatives and a district nurse confirmed this was always the case when they visited. Care Homes for Older People Page 13 of 30 Evidence: However we have also been provided with information where this has not been the case and people have told us about a person who has not recieved the help and support they need and has been seen wearing dirty clothes. The provider needs to be sure there are enough staff and the staff have the necessary skills to make sure everyone is recieving the help, care and support they need. At the previous inspection we asked the owner to make sure the care plans contained accurate and up to date information about people so that staff can provide the level of care they need. Four peoples case records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We found overall they did contain the necessary information however in some parts they lacked peoples personal preferences and were not person centred and there was one, which did not have any information about possible mental health issues. However they had all been reviewed monthly and one person did acknowledge they were aware of their care plan, also talking to staff showed they were aware of the care people needed. Although staff were aware of any risks to people we found these risks were not always reflected in the risk assessments, which were not always up to date and did not describe the actions the staff needed to take to minimise these risks. An example was one person, whose room was on the first floor, had some difficulty in walking and needed help when using the stairs. This was not reflected in a risk assessment and this person had over the last two weeks slept in the lounge in a chair. It was difficult to establish whether this is their choice to sleep in the chair or whether the lack of an assessment had meant the staff had not fully assessed the need for a ground floor room. The manager explained as this is a residential home some of the risk assessments are carried out by the District Nursing Team. The District Nurse told us that the staff are good at assessing risk in regards to peoples skin integrity and contacting them for help and advice. However the owner needs to make sure risks assessments are in place and updated as this helps to identify potential risks to people, and staff put into place arrangements that may minimise the risks. Peoples health care needs are generally promoted and maintained. The records showed some people were accessing health care professionals, such as General Care Homes for Older People Page 14 of 30 Evidence: Practitioners, Chiropodists, and District Nurses. A District Nurse told us they were proactive in contacting them, also when we visited an optician was carrying out some eye tests. The relatives also said people receive the medical support they need. At the previous inspection we asked for an accurate stock control system to be maintained for medication administered on as needed basis and all medication must be signed for on the Medication Administration record sheet, so that people can be confident that medication is being given as prescribed. The manager explained there is a stock control system now in place, which she carries out monthly. A sample of the medication was checked and found to be correct. However we did find that antibiotics were being kept in the food fridge and the controlled drugs were needed to be stored in a more secure place. Care Homes for Older People Page 15 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home responds to individual needs and choices, however more could be done to provide people with the opportunity to take part in activities both in and out of the home. Evidence: People told us they are supported in exercising choice and control over their daily lives and social activities. People can sit in communal lounges or spend time in their rooms and can rise and retire as they wish. The atmosphere at the home was very calm and relaxed. Visitors told us how they were made very welcome by the staff and were kept well informed. One person told us how the staff help their relative keep in contact by telephone. Activities are carried out by the care staff, they explained these mainly happen in an afternoon, and gave examples such as bingo, exercise class and occasionally taking a person to the park or the shops. The home has a cat, a dog and two birds, we saw one person getting much enjoyment from the cat. Some people were reading newspapers or watching TV. Care Homes for Older People Page 16 of 30 Evidence: Two people currently attend events at the Abundant Life Church and provision can be made for people to attend their chosen place of worship if they wish to do so. One person attends a day centre. However whilst we were in the home we did not see any activities taking place and the staff appeared to be very busy meeting peoples personal care needs. Also two people did say that it was very quiet and not a lot happening. One person was observed in a chair for most of the day and staff only talked to them when a task needed to be carried out. People mainly ate in the dining areas where tables were set with cutlery and mats and condiments. The cook explained he was temporary and generally talks with people each morning to find out what they wanted to eat. We saw people were eating mash potatoes, carrots, meat and gravy, the cook told us that people would be offered an alternative if they did not like the dish. We also saw people were having a hot breakfast when they choose throughout the morning. However people who have a soft diet were given mashed potatoes and fish cakes with meat gravy which was a unusual mix. People told us the food was good. The environmental health has recently given the home a four star rating. Care Homes for Older People Page 17 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although people feel comfortable in raising their concerns, they cannot be confident they will be acted upon. Evidence: People told us they feel able to make their views known if they have any concerns or complaints. Two surveys returned both said they knew who to speak to if they were unhappy, and knew how to make a complaint. The manager explained she will try to investigate and resolve any minor issues at the home and anything more serious will be passed to the operational manager. The complaints policy was reviewed in 2007 and includes how long a response will take. However the complaints records showed the last complaint recorded was in 2005, however we have talked with a person who has raised some issues with the manager in the last year, which were not reflected in the records and which they felt were unresolved. The lack of recording of these complaints shows that the management are not always taking them seriously. A copy of the local policy and procedure, No Secrets, is available for reference. Discussion with the manager showed she was aware of the actions to take to safeguard adults. She and the staff told us some of the staff have not had training in Care Homes for Older People Page 18 of 30 Evidence: adult protection and safeguarding however training had also been arranged for next month. There was evidence to show the staff recruitment process does not safeguard people at present. Care Homes for Older People Page 19 of 30 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. Park View provides generally a comfortable, and homely place for people to live. Evidence: People said their rooms were clean, and comfortable, they liked them and they have been decorated and furnished to their personal interests and tastes. However some of the areas of the home and some furniture would have benefited from being replaced or decorated. Two relatives and four people living in the home all told us the home is normally clean and fresh and this was always the case. There were no signs of an odour when we visited. Park View is a detached adapted building that provides accommodation for twentythree older people requiring residential care. Bedrooms are located on the ground and first floors. There is no stair or passenger lift. This makes the first floor bedrooms unsuitable for people who have difficulty walking. At the previous inspection we asked for a lock to be fitted to the bathroom door on the ground floor so that peoples right to privacy respected. Also the odour problems noted in the bedrooms to be eliminated so that people can sleep in a pleasant environment. Care Homes for Older People Page 20 of 30 Evidence: Soiled incontinence pads to be wrapped before they are placed in the clinical waste bags for disposal so that people are protected from possible cross infection. We found these had all been carried out. We also requested for screens for the double bedrooms to be replaced, however some of these had not been changed. The manager said these would be replaced straight away. To help prevent the spread of infections and to make the home a clean and comfortable place to live the annual quality assessment questionnaire states staff are instructed to adhere to the infection control policies and procedures and some have received training. Care Homes for Older People Page 21 of 30 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. Staff in the home are trained, skilled and generally in sufficient numbers to support people who use the service with their personal care needs. However to make sure only suitable people are employed they need to improve their recruitment procedures. Evidence: There are twenty one people living at Parkview the home is on two floors and does not have a passenger lift. The manager told us there are normally a manager, a senior and three carers in the morning, and in the evening a senior and two carers. These are supported by a cleaner, a cook and maintenance staff. People told us there were generally enough staff available to meet their needs unless people were off work due to unexpected illness. However whilst we were in the home we saw the staff were very busy carrying out peoples personal care needs, some which were not met and there was little time for activities or talking to people. This was also reflected in the amount of and type of activities available to people. People told us staff do treat them well, and provide them with the support they need. We looked at four staff records to make sure the home was employing suitable people for the job. Care Homes for Older People Page 22 of 30 Evidence: We found two police checks were carried out after the staff had started work and for one staff the home had a photocopy of a police check and this did not cover the necessary information. This tells us the home is not operating a recruitment process that will protect people living there. Two staff told us there is an induction programme in place that ensures new staff members are given the right information to be able to do their jobs well. Staff also told us and the records confirmed they had received various mandatory training and specialist training such as dementia care, mental capacity act, and catheter care. The district nurse also talked about the training she offered to the home. The home does not have a training matrix in place, a training matrix helps the manager easily identify when training needs updating. Staff confirmed they have had a staff meeting in August. The annual quality assessment questionnaire states twelve out of fourteen staff have or are at present carrying out National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. Care Homes for Older People Page 23 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Further improvements need to be made to make sure the home is run in the best interests of those who live there. Evidence: The manager although only recently recruited has previously worked at the home. She has her National Vocational Qualification level two and three in care and is to commence her level four and Registered Managers Award shortly. She is also applying to become registered with the Commission. Whilst we were visiting people were seen to be comfortable when approaching her to discuss the home, she always listened and responded with warmth and respect. Staff said they felt well supported by the manager. There was evidence that equal opportunities are promoted within the home, through peoples ability to access the religion of their choice. Care Homes for Older People Page 24 of 30 Evidence: Although the annual quality assessment questionnaire was brief, the data section of the AQAA was completed. The manager explained this was because she had only recently started working at the home. Quality assurance systems consisted of an annual survey for people in the home to complete, and regular house meetings. Also the manager carries out various checks of the services provided which are shared with the operational manager. However the outcomes in this report show that more needs to be done to identify and improve the outcomes for the people who live in the home. The manager explained she hopes to commence regular supervision for staff in the home shortly. We did not look thoroughly at the money however the manager told us the process has not changed since the last inspection. Where it was found the home holds money in safekeeping for a number of people and transaction sheets are in place showing income, expenditure and a balance. Only senior staff deal with financial transactions and regular audits are carried out to make sure the records are accurate and in good order. Receipts are obtained for any items purchased by staff on behalf of people. The annual quality assessment questionnaire states the maintenance checks are mostly in order apart from the gas and hoist safety certificates. We were shown the hoist ocertificates but the manager was unable to find the gas certificate she has agreed to send a copy of this to the Commission. Care Homes for Older People Page 25 of 30 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 30 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 8 13 You must make sure people are fully assessed for any risks to them and that actions are put into place to minimise these risks. This is to make sure people are safe and to help maintain their health. 03/11/2008 2 16 22 You must keep a record of all complaints and following a complaint an investigation must take place and the complainant informed of the outcome and any action to be taken. This is to make sure people feel safe and supported to share any concerns or complaints have about the service. 10/11/2008 3 29 18 Before staff start work you must make sure all staff have, a completed a full application form which has details of previous employment. Where any 17/10/2008 Care Homes for Older People Page 27 of 30 gaps in employment have been explored and details recorded. Two satisfactory written references and a satisfactory criminal record bureau check must be in place. Where a Protection of vulnerable adult first check has been obtained there must be evidence that the staff member worked under supervision pending the receipt of the full CRB check. This is to make sure people are protected from abuse and to ensure only suitable staff are employed at the home. 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 1 The statement of purpose and the service user guide should be reviewed and always available to make sure they contains enough information so people can be sure Parkview is the place they want to live. Further improvement is needed to make sure everyone who moves into Parkview has an assessment of their needs made which will enable the manager to be confident the home has the necessary skills and equipment to meet peoples needs. So people can receive the care they want in the way they prefer, people should be fully involved with their care plans and their personal preferences should be included. Controlled drugs should be stored in a metal cupboard of specified gauge with a specified double locking mechanism, which is fixed to a solid wall or a wall that has a steel plate mounted behind it and fixed with either Rawl, or Rag bolts. All drugs that need to be kept in at a cold temperature should be kept securely in a lockable medication fridge to Page 28 of 30 2 3 3 7 4 9 5 9 Care Homes for Older People make sure it is stored at the correct temperature. 6 7 12 27 Everyone should be provided with the opportunity to take part in social activities of their choice. To help people keep active and maintain their independence the number of staff working should be reviewed to enable people to participate in social activities both in and outside of the home. To make sure people receive a consistent service, all staff should be provided with supervision every six to eight weeks. 8 36 Care Homes for Older People Page 29 of 30 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 30 of 30 - 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. 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