Inspection on 12/09/05 for St Katherine`s

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

St Katherine`s 29/04/08

St Katherine`s 01/05/07

St Katherine`s 01/06/06

St Katherine`s 08/12/05

St Katherine`s 14/03/05

St Katherine`s 18/11/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE St Katherines 89 Shaftesbury Avenue Leeds West Yorkshire LS8 1DR Lead Inspector Ann Stoner Unannounced 09.45: 12 September 2005 th 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. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Katherines Address 89 Shaftesbury Avenue Leeds LS8 1DR 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) 0113 2697797 0113 269 7807 St Katherines (Leeds) Ltd Mrs Catherine Horner Care Home Only 18 Category(ies) of Old Age (18) registration, with number of places St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th March 2005. Brief Description of the Service: St Katherines provides care, without nursing, to 18 people of both sexes, over the age of 65. The home is located in a peaceful residential area, close to Roundhay Park and Canal Gardens. There are four floors, three of which are used by residents. The office, laundry, storage rooms and staff room are all on the lower ground floor. Accommodation for residents is in a combination of single and double rooms, some of which have an en-suite toilet. The ground floor has a lounge and dining room, there are outdoor areas at each side of the home, and there is a small car park for approximately eight cars. Shops, pubs, churches, coffee shops and restaurants are all close by and the home is within easy reach of bus stops. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 14th March 2005, following which immediate requirements were made. A monitoring visit to assess progress towards meeting the requirements took place on 21st June 2005. There have been no further visits until this unannounced inspection. The people who live in the home prefer the term resident; therefore this will be the term used throughout this report. Two inspectors carried out this inspection between 9.45am and 5.30pm. During the inspection, we made a tour of the building, looked at records, saw care staff carrying out their work and spoke with residents, visiting community nurses, staff and the manager. Comment cards/questionnaires are left for residents, visitors and other professionals at each inspection. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection (CSCI). We discuss any comments received with the manager without revealing the identity of those completing them. None have been returned. Copies of previous inspection reports are available at the home and inspection reports can now be accessed via the Internet at www.csci.org.uk. What the service does well: What has improved since the last inspection? Staff now make daily written entries in care plans, rather than using a variety of different books. Toiletries are no longer stored in bathrooms and cleaning materials are locked away when not in use. Some bed linen has been replaced. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 6 A senior worker has attended fire training and is now competent to train other staff in the home. This person now tests the fire alarm once a week. Water temperatures are monitored and some windows have been fitted with restrictors. Nutritional assessments are completed for residents, and the manager said that new forms are to be used when assessing new residents. We were unable to see these in use because there have been no admissions for some time. There is now a statement of purpose giving details about the home, and policies and procedures are in place, although some need amending. 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. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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 St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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, Standard 6 does not apply to this home.. Future residents have written information so that they can make a decision about admission. EVIDENCE: The home has a statement of purpose, but it does not include all of the items stated in Schedule 1 of The Care Homes Regulations 2001. There is no service user guide that draws together a summary of the statement of purpose, the terms and conditions of accommodation, the standard form of contract, the most recent inspection report, a summary of the complaints procedure and the address and telephone number of the Commission for Social Care Inspection. We made two requirements to address these issues. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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. Care plans have improved, but further work must take place so that needs are not overlooked. The health care needs of residents are met, and staff understand about protecting the privacy and dignity of residents. Some medication policies and practices must be introduced, and others amended, to reduce the risk of errors. EVIDENCE: Staff no longer use incident books and the daily diary to record information about residents. Day and night staff now make daily entries in the care plans. We sampled three care plans. Staff explained how care is given to individual residents, but they do not record this level of detail in care plans. One entry in a care plan stated, ‘needs assistance with everything’. This does not give care staff clear and precise instructions on exactly how to deliver care. Staff record some good information, but do not identify what the resident’s needs are, what action is needed to meet the need, and do not review the plan at least once a month. Staff complete nutritional and falls risk assessments, but do not use the information from these assessments to develop care plans on how to manage any identified risk. Staff recorded in one person’s daily records that she was becoming confused, but they did not develop a care plan on how to manage this. Another person’s records showed that she was reluctant to carry St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 10 out, or receive assistance with, personal care, but we could find no evidence of any contact with her GP, community nurses or community psychiatric nurses. Staff do not always sign and date records, they initial some records, and use abbreviations such as ‘R’ for right and ‘L’ for left. The home’s policies and procedures do not refer to the guidelines from The Royal Pharmaceutical Society. There is a list of homely remedies, such as Paracetamol, Sudocrem, Gaviscon and Simple Linctus, but we could not find an agreement to use these remedies by the resident’s GP. Medication Administration Records (MARs) were signed, but we could not find a list of specimen signatures for those staff that administer medicines. One person is prescribed oxygen, but we could not find a specific care plan for this. Staff carry the oxygen cylinder, without a trolley, to this person room. This is a moving and handling risk for staff. There is no medication refrigerator for those medicines that need cold storage. Unused medication is returned to the pharmacist and recorded, but these records are not clear. Community nurses said that they have a good working relationship with staff, and that staff always carry out their instructions. A new starter, with no previous experience in care work, described how she protects the privacy and dignity of residents. She explained how her induction, based on the TOPSS (Training Organisation for Personal Social Services) and help from her mentor, gave her valuable information about providing personal care in a way that respects the resident. A resident said that hairdressing now takes places in each person’s room. The manager said that the issue of privacy and dignity in a small toilet, near the front entrance, is being addressed by fitting a sliding door. We made a number of requirements and recommendations to address these issues. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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 Residents have opportunities for leisure activities and visitors are welcome. EVIDENCE: Residents get up as and when they want, and they said they could choose what time they go to bed, and whether or not to join in activities. One person spoke about the range of activities offered by the activity organiser who visits the home four times a week. During the afternoon we saw residents enjoying a movement to music session. Resident’s past and present interests are not recorded in care plans and therefore although group activities are provided, the interests of individual residents may not always be met. We made a requirement to address this. The manager said that visitors are always welcome, and one resident said when her son visits, they enjoy a picnic lunch together in the privacy of her room. One person’s care plan stated ‘his family are a source of his happiness’, and staff said that his wife visits every day. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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) 18 The lack of proper procedures means that there is no guarantee that any suspicion of abuse will be dealt with properly. EVIDENCE: The policy on adult abuse has improved but needs amending to make sure that it follows the multi agency adult protection procedures. The home does not have a copy of these procedures, and a senior carer was unsure of how to deal with an incident of abuse. A member of staff explained how residents were asked if they wanted to contribute towards a birthday present for a member of staff. It was noted in one person’s records that she was becoming more confused yet she was asked if she wanted to contribute. Staff must understand and consider the implications of this practice, which could be considered abusive. We made a number of requirements to address this. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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, 20, 21, 22, 23, 24, 25, 26. Resident’s safety is compromised by some practices and refurbishment is needed to make sure residents live in a comfortable and well-maintained home. EVIDENCE: We saw several hazards during the inspection, such as the continued use of wedges to prop open doors, some windows opening to an angle of 90o and unguarded radiators in corridors that were hot to touch. Not all the work identified in the fire officer’s report has been carried out. Linen cupboards on corridors were not shut, did not have a smoke seal and there was no ‘Keep Locked’ sign on the door, one linen cupboard on the first floor did not shut properly. Equipment was stored at the bottom of a staircase creating an obstruction in the event of a fire and archive records are stored in an open cupboard on a staircase. The vinyl flooring, recently fitted in one bathroom, is not secure and the bathroom door does not shut properly. Yale locks are fitted on bedroom St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 14 doors; one was seen immobilised by a nail preventing the lock being used. Valance sheets are now used, but in some cases these have replaced the bottom sheet, therefore does not fully cover the mattress. One sheet was very thin and we could see the pattern of the mattress through the sheet. Mattress covers are not used on all beds. Not all rooms have lockable space, and liquid soap and paper towels are not used in all areas where clinical waste is handled. There is a call system in place, but this is cancelled at a central point, and is difficult for staff to hear when working in the basement. Some areas of the home, particularly corridors and staircases, are shabby and are in need of decoration and refurbishment. We made a number of requirements to address these issues. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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. Staffing levels are not always appropriate for the number of residents and the layout of the building. Safe recruitment practices are not always followed. EVIDENCE: Although the manager has employed additional staff, the duty rota does not always show sufficient staff on duty given the layout of the home and the number of residents. When we arrived at the home there were two care workers, one of whom was in charge, and a YMCA college student, although additional staff, including the manager, arrived later. There is one waking night care staff and one person who is ‘on-call’ in the building. In an emergency the waking night staff has to go to the basement to summon assistance from the ‘on call’ person. This is unacceptable. The manager said that she needed to appoint a cook immediately. This person was on duty on the day of this inspection, and was still completing his application form. The manager said that written references had not yet been requested, but she had obtained one verbal reference for him. He was still completing details for his CRB (Criminal Record Bureau) check. We sampled the recruitment of two new workers. One person was employed without receipt of two written references and before a successful CRB check was returned. We could find no evidence of two written references for the second care worker, no evidence of a CRB, although the manager said that this had been returned, and no evidence of a work permit or letter of authorisation to work in this Country. The manager was unclear about the use of the POVA First (Protection of Vulnerable Adults) check. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 16 We made two requirements to address these issues. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 17 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) These standards were not assessed but an outstanding requirement remains for Standard 38. EVIDENCE: Although standard 38 was not assessed, we noted that window restrictors are not fitted on all windows, thereby posing a potential risk to residents. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 1 2 2 2 2 2 2 2 STAFFING Standard No Score 27 2 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 1 x x x x x x x x St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.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 (1) Requirement The homes statement of purpose must be amended to cover all items specified in Schedule 1 of the Care Homes Regulations 2001. This remains unmet from the monitoring visit on 21.6.05. The home must produce a Service User Guide. Timescale for action 30.11.05. 2. 1 5 (1) 30.11.05. 3. 7 15 (1) This remains unmet from the monitoring visit on 21.6.05. Care plans must set out in detail 30.11.05. the action that needs to be taken by staff to make sure that all aspects of the health, personal and social care needs of the resident are met. The plan must be drawn up with the involvement of the resident, recorded in a style accessible to the resident, and agreed and signed by the resident and/or his/her representative wherever posible. The care plan must be reviewed by staff at least once a month and must be updated to reflect St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 20 changing needs. This remains unmet from 16.11.04 & 14.3.05. Where residents are identified as being at risk, a plan to manage the risk must be developed. In order to guarantee the safe use of medication the homes policies and procedures should refer to guidelines from The Royal Pharmaceutical Society. There must be a specific plan in place for those residents who use oxygen. Clear records must be kept of all medication returned to the pharmacist. This must specify the name of the individual resident, the name of the medication, the amount of medication returned, the date on which it was returned, and both the signature of the staff member returning the medication and the pharmacist receiving the medication. A list of specimen signatures must be held of all those staff who administer medication. 5. 12 16 (2) (n) Residents past and present interests must be recorded, and opportunities must be provided in accordance with these interests, based on need, preference and capacity. This remains unmet from 16.11.04 and 14.3.05. The home must obtain a copy of the Multi Agency Adult Protection procedures. The homes policy on adult abuse must refer to 30.11.05. 4. 9 13 (2) 30.11.05. 6. 18 13 (6) 30.11.05. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 21 these procedures. Senior staff must access training on how to use these procedures. This is unmet from 16.11.04 & 14.3.05. The home must review its practice of asking residents to contribute towards presents for staff. Work identified in the Fire Officers report must be carried out. This is unmet from 16.11.04 & 14.3.05. Linen cupboards must be closed at all times when not in use. There must be a Keep Locked sign on the doors. There must be a smoke seal around the linen cupboard doors. Equipment must not be stored at the bottom of staircases. Archive records must not be stored in an unlocked cupboard on the staircase. Wedges must not be used to prop open doors. Where doors need to be held open an appropriate door closing device, which is activated by the fire alarm system, must be fitted. This is unmet from 16.11.04, 14.3.05 & 21.6.05. A programme of decoration and refurbishment must take place. Liquid soap and paper towels must be provided in all bathrooms, toilets, en-suite facilities and the laundry. 7. 19 23 (4) (a) 15.11.05. 8. 9. 19 21 23 (2) (b) 13 (3) 31.3.06. 15.11.05. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 22 10. 21 13 (4( (a) (b) (c) 23 (2) (b) This is unmet from 16.11.04 & 14.3.05. The vinyl floor covering in one bathroom must be secured. The bathroom door must be capable of closing. This is unmet from 21.6.05. The call system must be replaced by one that is cancelled at the point of actuation. All residents rooms must have a bedside light provided, or the reason for not providing one should be explained within the care plan. This is unmet from 16.11.04 & 14.3.05. A sheet covering the mattress and a valance sheet should be provided on all beds. Mattress covers must be used. Worn bedding must be replaced. This remains unmet from 14.3.05. All residents must have some lockable space in their room. This is unmet from 16.11.04 & 14.3.05. All bedroom doors must be fitted with locks suited to the residents capabilities and accessible to staff in emergencies. All pipe work and radiators must be guarded or have guaranteed low temperature surfaces. This is unmet from 16.11.04 & 14.3.05. Staffing levels must be kept under review to make sure that there are sufficient staff on duty at all times. 30.11.05. 11. 12. 22 24 23 (2) (c) 16 (2) (c) 31.3.06. 30.11.05. 13. 24 16 (2) (c) 30.11.05. 14. 24 16 (c) 30.11.05. 15. 24 23 (2) 31.12.05. 16. 25 13 (4) (a) 31.12.05. 17. 27 18 (1) (a) 15.11.05. St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 23 18. 29 19 (4) (b) The manager must not employ anyone unless she has obtained all the information and documents specified in paragraphs 1 - 7, Schedule 2 of the Care Homes Regulations 2001. This is unmet from 16.11.04 & 14.3.05. Window resitrictors must be fitted on all windows. This is unmet from 16.11.04 & 14.3.05. Immediate as advised. 19. 38 13 (4) (a) 15.11.05. 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. Refer to Standard 7 Good Practice Recommendations The likes and dislikes of residents in all aspects of their care should be recorded. Recording should demonstrate on a daily basis that the care plan has been followed. This remains unmet from 16.11.04 & 14.3.05. 2. 7 Staff should sign their full name and date all records. Abbreviations should not be used in any records or care plans. A signed agreement from the residents GP should be obtained confirming his/her consent to the use of homely remedies. A trolley should be used at all times when moving and handling oxygen cylinders. A refrigerator for the sole use of storing medication that requires cold storage should be obtained. 3. 4. 5. 9 9 9 St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 St Katherines 20050912 St Katherines UN Stage 4 S1499 V207263 J52.doc Version 1.30 Page 25 - 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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