Inspection on 26/09/08 for White Lodge Residential Home

This inspection was carried out on 26th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

White Lodge Residential Home 27/09/07

White Lodge Residential Home 16/02/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: White Lodge Residential Home 62 West End Kemsing Sevenoaks Kent TN15 6QB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Martin     Date: 2 6 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: White Lodge Residential Home 62 West End Kemsing Sevenoaks Kent TN15 6QB 01732761227 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): brenda.turley@btinternet.com Synchronized Limited Name of registered manager (if applicable) Mrs Brenda Dorathy Turley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 13 The registered person may provide the following category of service only; Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home White Lodge is registered to provide accommodation and personal care for thirteen older people. The property is a detached house located in the village of Kemsing, close to shops and to other amenities. There are gardens and off-road parking for several cars. The accommodation is arranged on the ground floor and the first floor. All of bedrooms are currently being used for single occupancy, although one can be shared. Eight of the bedrooms have en-suite toilet and shower facilities. There is a choice of Care Homes for Older People Page 4 of 28 care home 13 Over 65 13 0 Brief description of the care home communal areas with two lounges and a separate dining room. There is a passenger lift between the floors and a staff call bell system throughout. The Registered Provider, Synchronized Limited owns the home and is a private limited company. Care staff, working a roster, give 24-hour cover that includes one member of staff on waking night duty and one sleeping-in. Staff currently undertake catering, housekeeping and domestic duties in addition to caring for residents. Full information about the fees and costs payable, the service provided and the home Statement of Purpose are available from the Registered Manager. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place on 26th September 2008. The inspection included talking with staff and residents. More thorough discussion was held with the Registered Manager, one staff member and three people who live in the home. Some judgements about the quality of life within the home were taken from observation and conversation. Some records and documents were looked at. A tour of the premises was undertaken. The home has given the CSCI a completed Annual Quality Assurance Assessment and postal surveys from six residents and three members of staff have been received. All of the above have been used within this inspection process and Care Homes for Older People Page 6 of 28 some information has been mentioned within this report where appropriate. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 28 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their representatives are given written information and can visit the home before they decide to move in. Prospective residents are assessed to ensure that the home can meet their preferences and needs. Residents who stay for respite care could be better protected if the arrangements for their stay were formalised in writing. Evidence: All residents spoken with said they were happy at the home. Many have connections with the local area and value being able to maintain contact with familiar places and friends; some knew the home before they moved in permanently. Care Homes for Older People Page 11 of 28 Evidence: There is a statement of purpose and service users guide available for people thinking about moving into the home. This gives a range of written information about the facilities and services available in White Lodge and outlines what someone moving into the Service can expect to receive. The Registered Manager said that prospective residents and their representatives are able to visit and look around the home before they decide to move in and this was confirmed by residents spoken with. There is a minimum four week trial period after people move in to ensure that the home is suitable for them. A standard contract for permanent residents including terms and conditions of their accommodation is provided. Currently no contract is provided for residents staying for respite care; the Registered Manager said that the Registered Provider would provide these for respite care residents as soon as possible. The Registered Manager completes an assessment of the needs and wishes of each person who might want to move into the Service. This involves speaking with the person so that their needs for assistance can be identified together with getting a clear understanding of their preferences and expectations. The assessment is undertaken so that a decision can be made about whether or not the Service is the most appropriate place for the person concerned. Pre admission assessments recorded before the current Registered Manager was in post, were brief in detail. The Registered Manager said that these are now recorded appropriately. The Registered Manager demonstrated a good understanding of the needs of individuals that the home could and couldn’t meet. Whilst the home aims to care for people throughout all stages of older age, the manager said that where this is not possible support is given until a more suitable placement can be found. The home does not provide intermediate care, however some respite care is provided when rooms are available. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are treated with respect. Arrangements are in place to maintain their privacy and dignity. Residents’ personal, health and social care needs are met and generally reflected in their care plans, although some records could be improved by further updates. Residents are protected by the systems in place for the administration of medication, although this could be enhanced by a review of some storage and recording procedures. Evidence: Residents spoken with indicated that carers offer them all the assistance they need in a reliable and consistent manner. There is a written plan of care for each individual, which forms one of the means by which residents can be informed about and can agree to the assistance they will receive. The plans are available to and give guidance for carers. In general, the system is well organised and the information is detailed. Care Homes for Older People Page 13 of 28 Evidence: However, one care plan needs clarity about the use of a bath hoist whilst another, although updated needs some further updating with regard to the changing needs of the individual concerned. Care plans include information on consultation and referral to medical professionals. GPs and district nurses visit residents when necessary and this was confirmed by those spoken with. Some residents go to their own GP and dental appointments independently. Those at risk of developing pressure sores are assessed, a care plan is recorded and district nurses attend if necessary. Specialist equipment is provided where necessary. Residents spoken with were very happy with the personal care that they received from staff; it was reported that they were helpful, respectful and responsive. The Registered Manager said that some residents are able to look after their own medication and those spoken with described how they did this. Lockable facilities are provided. The home has a system in place to administer medication for those residents who are not able to do this themselves. One resident has eye drops that need to be refrigerated; these are kept in a separate container in the kitchen fridge. All medication administration records were completed appropriately with the exception of one handwritten entry which was not double signed by staff as an accurate copy; the Registered Manager said that this was an oversight that would be corrected in future. Residents spoke very highly of the staff team and felt that staff respected their privacy and dignity. During the inspection, staff were observed to attend to their needs in privacy and respond quickly when asked. White Lodge aims to be a home for life. The Registered Manager demonstrated a good understanding of needs that the home could and couldn’t meet and sensitivity to the issues involved for those nearing the end of their life. Families are able to visit as often as they wish and health care professionals can be accessed where appropriate. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are recognised as individuals and are able to exercise choice over their lives. Current residents feel suitably occupied and can choose to take part in group activities or pursue individual interests. Residents benefit from a varied diet and enjoy fresh fruit and vegetables. Evidence: Residents move into White Lodge knowing the nature of the service; this fits into the local area and is homely and friendly. Residents say that they are free to choose what to do each day. The pace of daily life is relaxed. They are encouraged to be as independent as possible. They can choose whether to spend time in their rooms or in the communal areas and the routines of the home are generally flexible. The Registered Manager said that the home now provides an Activities Coordinator who offers a programme for residents. Activities include hand and foot massages, poetry reading, crosswords, games of cards and events such as a strawberry tea in the garden and music afternoons; there is a planned bonfire night party and Christmas Care Homes for Older People Page 15 of 28 Evidence: celebrations. Residents spoken with consider themselves to be suitably occupied. On the day of this visit, some enjoyed a quiz in the lounge whilst others, who said they did not like to take part in group activities, preferred individual pursuits such as knitting, sowing, reading and watching television. Some residents are able to go out independently whilst some others go out with their relatives or friends. It was stated that further activities and encouragement to participate would be offered to residents. The minister from the local church visits the home regularly; visitors from religious organisations previously attended by residents are made welcome and residents are able to go to church if they wish. This was confirmed by residents spoken with. Residents are encouraged to keep in contact with their relatives and friends if they wish. Visitors are welcome in the home at any reasonable hour. Residents spoken with said that they enjoyed regular visits from members of their family and friends. Residents can choose whether to eat in their bedrooms or the communal dining room. Residents say that they usually receive good quality meals, that they always have enough to eat, that the vegetables are particularly good and fresh fruit is provided. A few residents said that although usually good, occasionally they find the meat tough and difficult to eat; the Registered Manager said that they would look into this. Residents spoken with said that they were able to choose their meals. The menus and records indicate that a varied diet is provided. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The views of residents and their representatives are listened to and receive appropriate consideration. Residents are protected from potential abuse. Evidence: At the time of this visit, it was observed that residents were at ease talking with staff and the manager who listened to their views. Staff observed demonstrated a good understanding of residents. A positive relationship between both staff and residents with a good balance between professionalism and friendliness was observed. Residents spoken with did not voice any complaints and none have been received by the home during the last year, although the home has the facility to record these should this be the case. There is a written complaints procedure available for residents and their relatives. One resident spoken with said that they felt safe and secure in the home. Procedures are in place to protect residents from potential abuse. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents enjoy living in a warm, clean, homely and comfortable environment. Evidence: The home is comfortable, warm, well maintained and homely. All areas seen were clean and tidy and this was confirmed by comments from residents. Since that last inspection, all windows and doors have been replaced, all communal areas have been redecorated; the damp problem has been resolved by the replacement of water pipes. The gardens surrounding the house are well maintained and attractive. There is a choice of attractive communal areas with two lounges and a separate dining room. A toilet is located close to these. Individual rooms reflect the occupants personalities and have personal effects and in some cases furniture. Residents spoken with confirmed that they liked the home and their rooms. Accommodation is arranged on two floors with bedrooms on the ground and first floor, all bedrooms are currently for single occupancy and eight have en suite facilities, four of which include shower as well as toilet facilities. Furnishings and fittings throughout the house are good quality. A shaft lift provides easy access between floors. Aids and equipment to give increased confidence and support are provided as necessary. Residents spoken with said that staff respond immediately when they need to use the staff call bell system. Care Homes for Older People Page 18 of 28 Evidence: The home is warm and well lit and rooms are naturally ventilated. The Registered Manager said that in order to prevent scalding to residents, most radiators were covered and that the surface temperatures of those that are not are checked on a regular basis. Hot water temperatures are also regularly checked. The Registered Manager stated that, since the last inspection, they had contacted the water supply company and they had suggested no action regarding the homes water supply, but they would contact them again to confirm this. The kitchen and laundry areas are maintained in a hygienic manner. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from qualified and trained staff, who care for, understand and anticipate their needs and wishes. Residents are put at some risk by practices within the home for staff recruitment. Evidence: All residents spoken with praised the qualities of the staff highly. Comments included that staff were always helpful, extremely kind and that the care given was amazing. Observations made at the time of this visit demonstrated a good understanding of residents by staff and good interaction. It was observed that there were enough staff on duty to meet residents needs at the time of this visit. Residents spoken with said that if they needed to use the staff call bell, someone always came immediately. There are usually between two and three staff on duty during the day with two at night, one asleep and one awake. Staff spoken with said that they did not feel rushed with their duties. The Registered Manager said that they keep the number of staff under review to ensure there are enough to meet the needs of residents. Two staff files were looked at. Although evidence was in place for the required preCare Homes for Older People Page 20 of 28 Evidence: employment checks for one, the recruitment file for a second recently employed staff member did not show that all the necessary checks had been undertaken. The Registered Manager assured the inspector that a new staff member would not return to the home or undertake any further duties until at least written confirmation of their POVA check and a second written reference had been received. The Registered Manager stated that all new care workers receive introductory training. This is designed to ensure that they have the basic knowledge and skills they need in order to be able to work without direct supervision. In addition to the introductory training, existing carers undertake various training courses on an ongoing basis. These are designed to further develop and update their skills. The Registered Manager said that the competencies of staff are checked after the training has been delivered. The Registered Manager said that out of a total of sixteen staff, six had obtained an NVQ at level 2 with a further five at level 3; in addition one staff member is shortly to start an NVQ level 4 qualification. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a friendly atmosphere supported by a Registered Manager and staff who aim to provide a good quality of life for older people. The home is aimed to run in the best interests of residents. A system is in place for the safeguarding of residents finances, although a review of individual storage facilities would confirm this. The health and safety of residents is promoted by monitoring for potential hazards within the home, although this would be improved by reviewing the frquency of the testing and recording of the fire alarm system. Evidence: The Registered Manager has many years experience of working with older people. They have a good knowledge of how the Service runs. The Registered Manager has Care Homes for Older People Page 22 of 28 Evidence: obtained an NVQ level 4 qualification, has completed the Registered Managers Award and continues to await the certificate. It was observed that the atmosphere of the home is open and friendly and this was confirmed both by residents and members of staff. Residents speak informally with staff about how things are going. Residents meetings are also held. In addition to this, the Registered Provider operates a more organised quality assurance system. This involves residents, their representatives and other interested parties being invited to complete questionnaires about the service provided. Since the last inspection the results are now collated and analysed. The results of the most recent questionnaires are largely positive about the Service. The Registered Manager said that the Registered Provider visits the home on a regular basis to ensure that the Service is running smoothly. At the time of this inspection, reports formalising these visits were seen, although they were not recently dated. Subsequent to this inspection, the Registered Provider assured the inspector that their recent visits are documented, but in a revised format. The Registered Manager said that the home is not an appointee for any resident and keeps no cash or valuables on their behalf; individuals themselves, friends or relatives deal with their financial issues. It was mentioned that residents have lockable facilities available; this was confirmed by one resident although not by another. Subsequent to this visit, the Registered Provider stated that all residents are provided with lockable facilities. The Registered Manager assists some residents by paying for them to receive additional services, such as hairdressing and then invoicing their representatives for reimbursement. The Registered Manager ensures that staff are supported to undertake their roles through both informal discussion and formal recorded supervision sessions. Staff also undertake periodic appraisals. Newer staff are supervised appropriately. Records of accidents and incidents are recorded appropriately. There are a range of detailed and comprehensive written policies and procedures designed to help carers complete their duties in an effective and consistent manner. Other records looked at as part of this visit have been mentioned elsewhere within this report where appropriate. Records generally indicate the testing and maintenance of systems and equipment within the home. The homes fire log book evidences checks of the system and appropriate records; although the fire alarm system is checked regularly, this is not on a weekly basis; records do not detail false alarms. The Registered Manager stated that since the last inspection they had checked that all staff were aware of the home’s fire procedures. Care Homes for Older People Page 23 of 28 Evidence: The Registered Provider monitors the premises and the accommodation. This is done so that potential hazards to health and safety can be identified and addressed. The Registered Manager says that there are no significant hazards waiting to be addressed. The Registered Manager said that the Environmental Health Officer had visited the home in January of this year and that they were awaiting the written report. It was mentioned that no recommendations were made. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 29 19 The registered person shall 20/02/2009 not employ a person to work at the care home unless they have obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. In order to protect residents, the Registered Manager must undertake all of the required preemployment checks for new staff; this includes the receipt of two written references and a check regarding the protection of vulnerable adults. No new member of staff can work at the home until these have been received. 2 38 4 The Registered Person shall, after consultation with the fire and rescue authority, make adequate arrangements for reviewing fire precautions, and testing 20/02/2009 Care Homes for Older People Page 26 of 28 fire equipment, at suitable intervals. In order to fully protect residents, the home must follow good practice and guidance from the Fire and Rescue Authority regarding the frequency of fire alarm tests and the recording of false alarms. 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 2 It is strongly recommended that the Registered Provider should complete the stated intention to provide contracts for respite care residents as soon as possible. It is recommended that the Registered Manager should complete their stated intention to further review two care plans, one about the use of a bath hoist and another regarding the changing needs of the individual concerned. It is strongly recommended that the Registered Manager should complete their stated intention to ensure that the guidelines produced by The Royal Pharmaceutical Society entitled The Handling of Medicines in Social Care are followed regarding, all handwritten medication administration records being double signed by two members of staff as accurate and the storage of medication needing refrigeration. It is recommended that the Registered Manager should undertake a review to ensure that all residents who manage their own finances are aware that lockable facilities are available for their use. 2 7 3 9 4 35 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!