Care Home: Kolbe House

Similar services:

• Henry Nihill House
• Birchwood
• The Infirmary
• Orchard House Nursing Home
• St Josephs Rest Home
• Red Court Nursing Home
• Spinney (The)
• Queen Elizabeth House

What the care home does well The home provides very good care that meets the expectations of the residents and their relatives. Assessments are completed in advance of residents moving in, and comprehensive care plans are created and followed. The service provided is focussed upon the needs of the Polish speaking Catholic community. All of the staff are Polish, the food is Polish, Polish television is available via satellite, and a Roman Catholic mass is celebrated weekly. Staff are well trained. The home is well managed, clean and with no malodours. The views of residents and their relatives are regularly sought. The management committee take a keen interest in what happens in the home, conducting weekly checks. Excellent health and safety check records are kept. What has improved since the last inspection? The Statement of Purpose and the Services Users` Guide now make mention of respite care being offered. The contract or terms and conditions supplied to service users now specifies the fees payable, and by whom. Individual plans of care have been extended. The CSCI receives a monthly report from a member of the management committee. The range of activities provided has increased. The conservatory has been rebuilt. The home`s electrical system has been modernised. Some residents` bedrooms have been repainted. New wheeled shower/commode chairs have been purchased. Additional staff training has been provided in subjects such as Challenging Behaviour, End of Life Care, and First Aid. The shower room has been adapted to permit easier wheelchair access. A chiller cabinet has been purchased to store fruit and vegetables A second computer has been purchased. What the care home could do better: On the day of the inspection, the home had seven vacancies. We talked to the Manager about the possibilities for the home to accept future residents who might have a level of dementia, subject to possible re-registration, a possible increase in staffing levels and additional staff training. It is recommended that the home`s assessment documents should be reviewed to ensure that they meet the list of needs to be assessed as appears in NMS 3.3, with particular reference to social interests, hobbies, religious and cultural needs. It is recommended that new residents and their relatives should be issued with and required to sign a statement of terms and conditions at the time of admission, or very soon afterwards. It is recommended that the home`s risk assessment documentation is extended so that when risks are identified as being either medium or high level, a risk management exercise is undertaken to identify and to put into practice ways of reducing or controlling the risk. The home must obtain for each person working in the care home evidence that the person is physically and mentally fit for the purpose of the work which s/he is to perform at the care home, or a declaration signed by the person that s/he is fit. It is recommended that the home`s form to record possessions brought in by new residents should always completed.It is recommended that the managers of the home undertake refresher training in dementia care, if necessary, in order to develop that aspect of care further. CARE HOMES FOR OLDER PEOPLE Kolbe House 18-19 Hanger Lane Ealing London W5 3HH Lead Inspector Robert Bond Unannounced Inspection 6th February 2009 10:00 X10015.doc Version 1.40 Page 1 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 Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 2 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. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kolbe House Address 18-19 Hanger Lane Ealing London W5 3HH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 992 4978 F/P 0208 992 4978 admin@kolbehouse.co.uk www.KolbeHouse.co.uk Kolbe House Society Ms Lidia Williams Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 25 13th February 2007 Date of last inspection Brief Description of the Service: Kolbe House is a residential care home that is registered for 25 older people. It is operated by The Kolbe House Society and originally opened in 1962, mainly to accommodate for Polish refugees. The majority of the residents are Polish and Catholic. The home is situated on the North Circular Road, close to Ealing Common but a distance from the shops and services of Ealing Broadway. The building comprises two large three storey houses amalgamated as one. Bedrooms are on all three floors but only one on the top floor is currently occupied as the lift does not extend to that floor. All bedrooms are single rooms, five of which are en-suite. The home has a new conservatory and a large and attractive garden that has a ramp into it. The staff are Polish speaking and the diet, culture and church services held on the premises all focus on meeting the needs of the Polish residents. Fees range from £500 to £524 per week. Respite care is offered in certain circumstances. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use the service experience excellent quality outcomes. This was a key unannounced inspection that assessed the home’s performance in meeting the anticipated outcomes associated with the National Minimum Standards (NMS) for care homes for older people, as published by the Department of Health. The last key inspection was undertaken on 13th February 2007, but we did an Annual Service Review on 20th February 2008. We received in advance of the inspection, an Annual Quality Assurance Assessment (AQAA), completed by the Registered Manager, who is hereafter referred to as the Manager. On the day of the inspection, we interviewed the Manager, met other staff, talked to residents, toured the home, and examined a range of documents. Equality and diversity were considered at all times. The care home specifically but not exclusively provides a home for Catholic Poles. What the service does well: The home provides very good care that meets the expectations of the residents and their relatives. Assessments are completed in advance of residents moving in, and comprehensive care plans are created and followed. The service provided is focussed upon the needs of the Polish speaking Catholic community. All of the staff are Polish, the food is Polish, Polish television is available via satellite, and a Roman Catholic mass is celebrated weekly. Staff are well trained. The home is well managed, clean and with no malodours. The views of residents and their relatives are regularly sought. The management committee take a keen interest in what happens in the home, conducting weekly checks. Excellent health and safety check records are kept. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: On the day of the inspection, the home had seven vacancies. We talked to the Manager about the possibilities for the home to accept future residents who might have a level of dementia, subject to possible re-registration, a possible increase in staffing levels and additional staff training. It is recommended that the home’s assessment documents should be reviewed to ensure that they meet the list of needs to be assessed as appears in NMS 3.3, with particular reference to social interests, hobbies, religious and cultural needs. It is recommended that new residents and their relatives should be issued with and required to sign a statement of terms and conditions at the time of admission, or very soon afterwards. It is recommended that the home’s risk assessment documentation is extended so that when risks are identified as being either medium or high level, a risk management exercise is undertaken to identify and to put into practice ways of reducing or controlling the risk. The home must obtain for each person working in the care home evidence that the person is physically and mentally fit for the purpose of the work which s/he is to perform at the care home, or a declaration signed by the person that s/he is fit. It is recommended that the home’s form to record possessions brought in by new residents should always completed. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 7 It is recommended that the managers of the home undertake refresher training in dementia care, if necessary, in order to develop that aspect of care further. 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. The summary of this inspection report can be made available in other formats on request. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is good. Standard 6 does not apply at Kolbe House. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good quality information about the home, and information is available in Polish. Although contract terms and conditions are prepared, delays occur in obtaining signed copies from residents or their relatives. Fairly comprehensive assessments are undertaken before residents move in, but social care needs are not formally assessed in advance. The existing risk assessment process does not include formal risk management. EVIDENCE: We examined the home’s Statement of Purpose and Services Users’ Guide. These had been updated to make reference to respite care being available. Some of the information is in Polish, which is commended. We examined the care files of two residents who had recently been admitted. One was for protracted respite care. One resident had been at the home for over three months but the file did not yet contain a statement of terms and conditions signed by their relative. The Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 10 respite care resident, who was self-funding, did not have a contract on their file. For the resident who had been referred by the NHS, a formal assessment from the hospital was on file, and in both cases an almost comprehensive assessment had been done by a member of staff from the care home. The National Minimum Standard 3.3 identify a list of 13 aspects to be considered in this assessment. One that was not specifically assessed in advance by Kolbe House was ‘social interests, hobbies, religious and cultural needs’. The care plan we examined did however include these aspects. Both files contained risk assessments, and the home had reviewed the assessment after three months, where applicable. The risk assessment indicated by use of a tick whether the risks on a set list were low, medium or high, but no formal risk management exercise was recorded on the forms. It is good practice to identify in writing how identified medium and high risks can be controlled or reduced, as this information will assist the staff when drawing up a care plan. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are well set out in individual plans of care in both English and Polish, and are regularly reviewed. All care needs are being met. Residents are fully protected by the home’s medication policies and procedures, and residents are empowered where appropriate to manage their own medication. Residents are treated with great respect, and their privacy is maintained. EVIDENCE: The care plans we examined were sufficiently detailed, and included personal care and health care needs, and how to meet those needs. Social care needs were included. Care plans are reviewed monthly. They are in Polish as well as in English, which is commended. One care file we examined demonstrated that the resident had been under the Care Programme Approach whilst in hospital. Residents have a choice of GPs when resident in Kolbe House. Many of the care staff are trained nurses. A physiotherapist attends the home weekly, and other paramedical services are provided as necessary. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 12 We examined the medication storage facilities, the medication administration records, and the returned medication records. All were meticulously kept. At least one resident is enabled to look after their own medication, which is commended. We talked to two residents who told us that they were very happy at Kolbe House, and they praised the staff and management. We collected survey information for the Annual Service Review we did in 2008, and comments from relatives included, “The home seems to always be looking for more ways to make life interesting and fun for residents.” We observed residents being treated with great respect by care staff and managers. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents all enjoy the Polish culture, language, religion and food that the home excels in providing. Frequent contact with relatives is maintained and encouraged wherever possible. Residents’ control over their own lives is fully promoted. The food provided is varied, appealing and wholesome, and choices are always made available. EVIDENCE: We observed the home operating in terms of Polish culture, using the Polish language, meeting Catholic religious needs and offering Polish food. The home has a monthly timetable of advertised activities that covers all seven days of the week. Physiotherapy, Bingo, singing and games all feature in the programme. We noted a member of staff throwing a soft ball for residents to catch. Polish satellite television is available and Polish DVDs. The home was seen not to run according to fixed routines. The extent of flexibility is commended. A Catholic mass is held in the home on Saturdays. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 14 The visitors book demonstrates the high extent of relative involvement, which is commended. One resident is Swiss and not Catholic but she has previously reported that she also is happy with the activities provided at Kolbe House. The home holds occasional full residents’ meetings which are minuted. Regular informal meetings are held almost daily at which residents’ wishes and choices are ascertained. We saw a food menu in English that demonstrated that food was varied and attractive. We observed residents eating in pleasant surroundings. Most of the questionnaire feedback on food was wholly positive. One resident wrote, “If there are certain foods I cannot eat, the kitchen staff always try and serve me an alternative”, which is commendable. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that any complaint will be properly investigated. The complaints procedure is advertised in Polish and English. Residents are well protected from abuse and are informed in Polish about the various types of abuse and how to report any concerns. EVIDENCE: The home has an advertised complaints procedure, in Polish as well as in English, which is commended. No complaints have been recorded, or made known to us, in the period since the previous CSCI inspection. The AQAA reports that no Safeguarding Adults referrals have been made during the same period. Training records show that in the last year four staff have received training in Safeguarding Adults. In several communal areas of the home is a small poster in Polish informing residents of what to do if they consider abuse is taking place. This is commended. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is excellently maintained, decorated, furnished and equipped, and is a safe environment for residents. Visitors and staff members. The home is also extremely clean, hygienic, and is a pleasant place to be. EVIDENCE: We toured the premises and saw most areas, including a few residents’ rooms with their permission. The home has recently been decorated, and some new furniture and equipment bought. The conservatory has been rebuilt and is a delightful room. The home was seen to be exceptionally clean and hygienic throughout. There were no malodours anywhere. Laundry and kitchen equipment was of a high standard. No outstanding maintenance items of any kind were noted, which is commended. Maintenance records such as safety certificates were also of an excellent standard. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 17 Hot water was at the correct temperature and the call bell system worked. A respondent to our questionnaire wrote, “I am happy with my room and all communal rooms always feel and look clean and fresh.” Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient staff, including care workers, are employed and the staff have the right skills. Training is at a high level but additional future training is indicated. The home’s recruitment procedures protect residents, except that health disclosure checks are not undertaken. EVIDENCE: We examined a staff rota that demonstrated that sufficient staff were provided. This was confirmed by observation. The Manager reported that a full complement of staff were employed, with 4 care staff deployed each day, and two at night. We talked about future staffing levels if the home were to accept people with dementia. The AQAA states that 9 out of 12 care staff have NVQ awards or Polish nursing qualifications. As this ratio exceeds the required 50 target in the NMS, it is commended. We examined the recruitment records for a new member of staff. These included an application form, interview notes, identification checks, two references, training certificates, a CRB certificate, and a contract. No health questionnaire or declaration of health had been completed. We noted that induction training had been undertaken by the new employee. The Manager produced records that showed that in the last year the following training had been received (in addition to Safeguarding): First Aid 13 staff; Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 19 Infection Control 4; Mental Capacity Act 2; Fire Safety 4; Challenging Behaviour 2; Risk assessments 2; End of Life Care 1; and Medication 1. Staff received dementia care training in the previous year, but an update for this training will become necessary. A respondent to our questionnaire wrote, “Staff are always available if I need them.” Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is very well managed, and which operates very much in their best interests. Residents’ financial interests are fully safeguarded. Record keeping is satisfactory overall but the records of safety maintenance checks are excellent. EVIDENCE: The Manager has obtained the Registered Managers Award. All the requirements from the previous CSCI inspection have been complied with. She and her team have been successful in raising the standards of the home, which is commended. We also met the home’s Deputy Manager who takes responsibility for the medication, for example, an aspect that is also commended. As the home may accept future residents with a level of dementia, a recommendation is made that the managers of the home undergo refresher training in dementia care. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 21 A resident wrote in her questionnaire response, “The home is a well run, very caring place.” The Manager showed us questionnaires completed by residents, relatives and visitors to the home. She also produced an internal audit of the home that had been undertaken. In addition, members of the home’s management committee visit the home frequently and submit Regulation 26 reports to the CSCI. This level of oversight is commended. We checked a sample of the records of money held by the home on behalf of residents, which were satisfactory. The care file we examined for the person on a protracted respite care stay contained an inventory form for recording possessions brought into Kolbe House. It was blank. It is a requirement to record furniture brought in, but it is recommended that other possessions are also recorded. In terms of health and safety, we checked fridge and freezer temperatures and records, hot water temperatures, call bell system and safety maintenance documentation such as the Legionella testing certificate that was dated 1st August 2008. All were in very good order and the clarity of the maintenance records is commended. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 4 4 x x x x x x 4 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 x 3 4 Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 OP29 Regulation 19 Sch 2 Requirement The registered person must obtain for each person working in the care home evidence that the person is physically and mentally fit for the purpose of the work which s/he is to perform at the care home, or a declaration signed by the person that s/he is so fit. Timescale for action 01/04/09 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 OP2 Good Practice Recommendations That new residents and their relatives be issued with and required to sign a statement of terms and conditions at the time of admission of the resident, or very soon afterwards. That the home’s assessment documents should be reviewed to ensure that they meet the list of needs to be assessed as identified in NMS 3.3, with particular reference to social interests, hobbies, religious and cultural needs. DS0000027733.V373798.R01.S.doc Version 5.2 Page 24 2 OP3 Kolbe House 3 OP3 4 5 OP31 OP37 That the home’s risk assessment documentation is extended so that when risks are identified as being either medium or high level risks, a risk management exercise is done to identify and to put into practice ways of reducing or controlling the risk. That the managers of the home undertake refresher training in dementia care, if necessary. That the home’s form to record possessions brought in by new residents is always completed. Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Kolbe House DS0000027733.V373798.R01.S.doc Version 5.2 Page 26 - 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!