Inspection on 07/06/05 for Pendlebury Manor Care Home

This inspection was carried out on 7th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Pendlebury Manor Care Home 27/01/10

Pendlebury Manor Care Home 04/08/09

Pendlebury Manor Care Home 05/08/08

Pendlebury Manor Care Home 10/01/08

Pendlebury Manor Care Home 03/07/07

Pendlebury Manor Care Home 09/05/06

Pendlebury Manor Care Home 10/01/06

Pendlebury Manor Care Home 16/12/04

Pendlebury Manor Care Home 30/07/04

Pendlebury Manor Care Home 24/05/04

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

CARE HOMES FOR OLDER PEOPLE PENDLEBURY MANOR CARE HOME LYME GREEN PARK LONDON ROAD LYME GREEN, MACCLESFIELD SK11 0LD Lead Inspector DENIS COFFEY UNNANNOUNCED 07 JUNE 2005 AT 9.00 AM The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Pendlebury Manor Address Lyme Green Park London Road Lyme Green Macclesfield SK11 0LD 01260 253555 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Pendlebury Healthcare Ltd. Care Home 61 Category(ies) of DE(E) Dementia (61) registration, with number of places PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 61 service users to include * up to 61 service users in the category of DE(E) (dementia over the age of 65 years) requiring personal care only * up to 5 service users in the category of DE (dementia, aged between 50 and 65 years) requiring personal care only. 2 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 16th December 2004 Brief Description of the Service: Pendelbury Manor is a care home providenig care for up to 61 people with dementia who require personal care only. The premises are are divided into three units: the Lymes, the Villa and the Manor. Accommodation comprises of 42 single rooms and 9 double rooms. Dining and lounge areas are provided on each unit, and two passenger lifts are provided for access to the first floors. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Because of concerns raised regarding the health and welfare of residents, a number of additional visits have been made to the home since the inspection of 16th December 2004. At each of these visits, inspectors made a number of requirements for compliance with the Care Home Regulations. Letters sent to the registered person following these visits can be obtained from the Commission for Social Care office on request. This unannounced inspection took place over 6 hours and included a tour of the home as well as inspection of care records. Denis Coffey, Helena Dennett, and Joan Adam CSCI inspectors, carried out the inspection. They spoke with six of the nineteen residents and four members of staff. There were no visitors present at the home during the course of this inspection. What the service does well: What has improved since the last inspection? Since the last inspection, the process of recruiting staff has improved and thorough checks are now carried out in order to safeguard residents from poor practice. The process of assessing residents’ care needs before they move into the home has improved considerably so that when they move in, everybody concerned knows that the residents’ needs can be met at the home. The overall standard of cleanliness and the maintenance of the building have improved since the last inspection so that the home is more comfortable and safe for the residents to live in. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 3 The home has a statement of purpose that provides residents and their families with information about the home and the services it provides. Full assessments of needs are carried out before residents move in so they know that their needs can be met at the home. EVIDENCE: The home’s statement of purpose had been updated to include the details of the new manager who took up her post in March this year. However, the document contains inaccuracies and needs to be amended to confirm that the home is registered for a maximum of 61 people over the age of 65 with dementia, needing personal care only, but within that number can provide care for a maximum of 5 people aged 50 to 64 years, with dementia. The records of four residents who moved into the home recently were checked and found to contain thorough assessments of the residents’ care needs that had been carried out before they moved in. The form used for these assessments is identified as an admission assessment, and the home manager was advised to change this to a pre-admission assessment to avoid confusion. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 The care records of the residents require improving to ensure that all their needs are met effectively. Staff make sure that residents’ dignity and privacy are respected at all times. Although the medicines generally are managed well, improvements are needed to the records so that accurate stock levels can be accounted for and it is clear that residents are all receiving their medicines as prescribed. EVIDENCE: The care records of five residents were examined at this inspection. All contained assessments on the residents’ nutritional needs, safe moving and handling and skin integrity. One resident was receiving strong pain relief medicine for a back condition, and this was not included in her plans of care. The records of a resident who had moved in five days before the inspection did not contain plans of care for problems that had been identified in her preadmission assessment, e.g. incontinence. This resident had a falls risk assessment that identified she was at risk from falling but a plan of care was not in place as to how this problem was to be managed. Daily records relating to the health and welfare of the residents were informative. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 10 All of the residents are registered with a general practitioner, and have access to NHS facilities. Records were seen of other healthcare professionals being involved in the care of the residents. The management of medicines was examined on the Manor and Lymes Units. Manor Medicines with a limited life were dated when they were opened to show when their use had started. Medicines were stored in a locked trolley that is kept in a locked medicines storage room when not in use. Two of the residents on this unit have been prescribed a strong pain relief medicine, and when the records of these were examined the stock levels did not correspond with the records of administration. The medicine for one resident contained forty-four tablets in a box that was labelled as containing twenty-eight tablets. There was another bottle of this medicine containing twenty-eight tablets, giving a stock of seventy-two tablets in total. The records for this medicine showed that the stock total should have been forty-one tablets. The records for the second service user showed that there should have been sixty-three tablets in stock when there were sixty-two tablets present. Lymes Medicines were stored securely but the medicine administration record (MAR) sheets for one resident had been altered to show that a medication that had been prescribed once a day was to be increased to twice a day. This alteration had not been signed or dated by the person making it. A box containing the medicine stated that the medicine was to be given twice a day, but there was another container of this medicine in the medicines trolley that identified it was to be given once a day. Staff were heard to speak with residents appropriately, and were seen to maintain the dignity and privacy of the residents when attending to their personal needs. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 A variety of activities was available to keep residents active and stimulated. Food was presented well, but there was little choice offered. EVIDENCE: A list of activities was on display on a notice board and one resident said that she had enjoyed an art session yesterday. On the day of inspection one of the care staff was discussing items of news in a newspaper with a group of residents, and residents were asked what music they wished to listen to following lunch. Visitors can come to the home at any reasonable time and one resident spoken with said that her son visits her on a regular basis. There were no visitors present at the home during this inspection. Lunch on the day of inspection was a choice between liver and onions, mashed potatoes and carrots, or a salad. There was no alternative to the main course identified on the menus apart from salad. Rice pudding was served as a dessert. The kitchen storeroom contained good stocks of food and fresh vegetables. Service users spoken with said that they were happy with the standard of food provided. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The information available to guide residents and relatives on how to make a complaint and who to make it to needs amending so people know who to make a complaint to, and when to expect a response. There are procedures and guidance available for staff to ensure that residents are protected from abuse, harm and poor practice. EVIDENCE: A record was seen of one complaint being received at the home since the last inspection. Details of the investigation into this complaint and the outcomes from this were provided in writing to the complainant. The home has a complaints procedure that identifies by name the previous home manager. The procedure does not state that complaints will be investigated, or that a response will be made to the complainant within a certain time. The home has its own whistle blowing policy advising staff on how they can make their concerns known if they witness or suspect poor practice being carried out. However, the home’s abuse policy is a copy of a local authority that is based in the south of England. The contact addresses and telephone numbers given in this are not relevant. Notices were seen around the home advising staff that training on adult protection was being held on 8th June 2005 that was open to all staff to attend. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 22 & 26 The general standards of décor, furnishings and hygiene are satisfactory, providing residents with comfortable and homely surroundings. EVIDENCE: The main entrance to the home is through a conservatory. Access through this area is temporarily closed as new flooring was being laid. Inspectors were informed that this work would be completed within the next two weeks. A large lawned area at the back of the Lymes has been fenced off and there are plans to make this a secure garden area for the residents of the Lymes and the Villa. Bedrooms were clean, tidy and free from unpleasant smells and were comfortably furnished. Redecoration is required in one bedroom on the Manor where the wallpaper was peeling away from the wall by the wash hand basin. It was also noted that the area of wall at the back of the wardrobe in this room had no wallpaper on it. Whilst walking around the Manor, inspectors observed a set of weighing scales left in the fireplace in the dining room. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 14 The temperature of the hot water supplied to the baths was tested and found to be 48 degrees Celsius. To avoid the risk of scalding, hot water should not be in excess of 44 degrees Celsius. An immediate requirement was made for this to be attended to. There was no cold water supplied to the wash hand basin in this room, and there was no bath plug. Staff spoken with said that they did not use this bathroom, as there was no curtain supplied to the window and therefore the residents’ privacy and dignity could be compromised. The call alarm system was tested in one of the bedrooms on the Manor. When activated, the display panel in the lounge identified that the alarm had been set off in a different room. The system was then tested in another room and found to be working satisfactorily, but staff were observed to silence the alarm before going to the room to see why they were needed. The refrigerators and freezers in the kitchen were clean. A kitchen-cleaning schedule was on display on the door of a refrigerator; the home manager was advised to provide a plastic wallet for this to be kept in. One of the fly screens covering the windows in the kitchen had a hole in it, and cobwebs were seen on the inside of the window. Dry food goods were seen stored in open containers in the storeroom off the kitchen. There was a tub of cream used for the personal use of a resident that was labelled only with initials and not the person’s full name. It is recommended that the full name be used so that there can be no confusion about who the cream is to be used for. The bin for used paper towels in the bathroom off the lounge on the Manor Unit did not have a lid on it and a mop was found stored in this room. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 There are enough staff on duty to meet the needs of the residents at all times. Recruitment procedures include thorough checks of new staff, ensuring that the residents are safeguarded from possible harm. EVIDENCE: Staffing rotas over a six-week period were reviewed that showed that the agreed staffing numbers were being complied with. The personnel records of two new members of staff were examined. Both of these contained a signed statement of terms and conditions of employment, satisfactory enhanced Criminal Records Bureau disclosures, two satisfactory written references, an interview assessment, a completed application form, and a health declaration signed by the employee. Training on adult protection was booked to take place on the day following this inspection. Records were seen of training taking place recently, e.g. dementia awareness, management of medicines, and safe moving and handling procedures. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 & 38 The home is well managed. The health, safety and welfare of residents and staff is generally well managed but there are areas where this could be improved upon. EVIDENCE: The home manager took up her post in March this year, and has applied to the Commission to be the registered manager at the home. She is a trained nurse who has previous experience of managing a care home. A new deputy manager has also been appointed who has six supernumery hours each week to assist the home manager. Records were seen of a representative of the company carrying out monthlyunannounced visits to the home. The records showed that this person reviewed care records, toured the premises and spoke with residents. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 17 The personal money held by the home for six residents was examined. Records were maintained off all purchases made, and of two staff signing for receipt of money when it was required. Balances of money for each resident were found to be correct. Satisfactory service reports were seen for the fire alarm system, the emergency lighting system and fire extinguishers, all of which were current. Records were also seen of these being tested at the home but not at the intervals required. There have been a number of fire drills recorded as taking place since the last inspection, but there was no record of fire safety training being provided recently. This means that there are staff employed at the home that have not received such training. Records were seen of the passenger lifts and bath hoists being serviced this year. There were no records available at the home to show that the portable electrical appliances have been tested within the past twelve months, or of a current landlord’s gas safety certificate. Residents’ accident records showed that there had been 30 recorded accidents sustained by residents since 1st January 2005 to date. One resident had a record of falling four times within a short period of time. A review of this resident’s care records showed that a falls risk assessment had been carried out on him, and a management plan had been devised to reduce the risk of him falling. The smoking area for residents accommodated on the Manor Unit is in a paved garden area that is enclosed by railings. The paving flags in this area were uneven, there was a large wooden frame stored against a wall, and a large tarpaulin was covering gravel stored here. Residents were seen in this area unsupervised. The safety of this area for residents had been reported on at a previous inspection and a requirement was made to ensure that the area was kept free of hazards. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 x 2 2 x x x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 3 x 3 x 3 x x 2 PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement The homes statement of purpose must accurately reflect the age range of the residents who can be accommodated there. Care plans must be devised to address all of the identified needs/problems of each resident. This requirement remains unmet from previous inspections. Arrangements must be made for the accurate recording of all medicines received at the home. This requirement remains unmet from previous inspections. The complaints procedure must be amended to include the name of the person who a complaint can be made to, and to include information regarding the process to be followed when a complaint is received. Relevant contact addresses and telephone numbers must be included in the homes adult protection policy. The bedroom in the Manor Unit where the wallpaper is peeling off must be redecorated and the wardrobe in this room must be securely attached to the wall. Timescale for action 20/07/05 2. 7 15 20/07/05 3. 9 13 20/07/05 4. 16 22 20/07/05 5. 18 13 20/07/05 6. 19 13 & 23 20/07/05 PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 20 7. 8. 19 21 23 13 9. 21 26 10. 11. 22 38 23 23 12. 38 23 13. 38 23 14. 15. 38 38 23 23 16. 17. 18. 19. 38 19 & 38 23 23 Curtains or other window coverings must be provided in all rooms used by residents. The temperature of the hot water supplied to baths at the home must not exceed 44 degrees Celsius. Cold water must be supplied to each of the wash hand basins and plugs must be provided for all baths and wash hand basins in the home. The call alarm system must be repaired and maintained in good working order. The fire alarm and emergency lighting must be tested once a week and a weekly visual inspection of the fire extinguishers should be carried out. All staff at the home must receive fire safety training from an approved instructor, and such training must be provided to all staff at least twice a year. All portable electrical appliances at the home must be tested for safety. This requirement remains unmet from previous inspections. A gas safety certificate to verify that all gas appliances at the home are safe must be obtained. The area outside the Manor Unit that is the designated smoking area for residents must be maintained in a safe condition. This requirement remains unmet from previous inspection. Make arrangements for the disinfection of the cold water stored at the home. Make arrangements for storage for the purpose of the home. 20/07/05 Immediate 20/07/05 20/07/05 20/07/05 20/07/05 20/07/05 20/07/05 08/07/05 30/06/05 30/06/05 30/06/05 30/06/05 PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 15 26 26 26 Good Practice Recommendations Alternatives other than salads should be available for the residents to choose from at lunch time. All waste paper bins in toilets and bathrooms should be fitted with a lid that closes. All food kept at the home should be stored in appropriate containers. All creams used in the personal care of service users should be labelled with their full name and not just their initials. PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI PENDLEBURY MANOR CARE HOME F51 F01 S18805 Pendlebury Manor V229584 070606 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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