Inspection on 15/05/08 for Ashton View Nursing Home

This inspection was carried out on 15th May 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashton View Nursing Home 30/10/09

Ashton View Nursing Home 07/12/07

Ashton View Nursing Home 09/03/07

Ashton View Nursing Home 30/08/06

Ashton View Nursing Home 01/12/05

Ashton View Nursing Home 12/05/05

Ashton View Nursing Home 06/01/05

Ashton View Nursing Home 12/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Ashton View Nursing Home Wigan Road Ashton-in-makerfield Wigan Lancashire WN4 9BJ Lead Inspector Grace Tarney Unannounced Inspection 15th May 2008 09:30 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 Ashton View Nursing Home DS0000005669.V364199.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. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashton View Nursing Home Address Wigan Road Ashton-in-makerfield Wigan Lancashire WN4 9BJ 01942 722988 01942 274896 ashtonview@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Centres Limited 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) Derek Mercer Care Home 58 Category(ies) of Dementia (39), Old age, not falling within any registration, with number other category (19) of places Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 19) Dementia - Code DE (maximum number of places: 39) The maximum number of people who can be accommodated is: 58 Date of last inspection 7th December 2007 Brief Description of the Service: Ashton View is located in the centre of Ashton-In-Makerfield and is convenient for public transport and shops. There is level access to the front of the home with adequate parking to the front. There are no gardens, only 2 small sitting areas on either side of the car park. A second floor rooftop garden terrace provides residents on Pilling Unit with a safe outdoor area. There are three floors and there is a passenger lift to all levels. The home has three units. On the ground floor there is the general nursing unit (Evans), on the first floor there is a unit for residents with dementia who need specialised nursing input (Gerard), and on the second floor a unit for residents with dementia (Pilling). All the bedrooms throughout the home are single. Bathrooms and toilets are provided on each floor. The provider informed the inspector that the fees within the home ranged from £335.19 to £540 per week. The fees charged depend on the needs of the residents and whether they receive the free nursing care top up. Additional charges are made for private chiropody, hairdressing and newspapers. This information was received on the 15th May 2008. A copy of the most recent Commission for Social Care (CSCI) inspection report is displayed in the reception area. Ashton View Nursing Home DS0000005669.V364199.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 2 stars. This means the people who use this service experience good quality outcomes. The home was not told that this inspection was to take place although many weeks before the inspection, questionnaires (comment cards) were sent out to the residents, their relatives and the staff. The questionnaires asked what people thought about the care and quality of the service provided. 5 were received from relatives and 5 from staff. What they felt about the care and services provided is written in different sections throughout this report. Also before the inspection we (The Commission) asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present, what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We spent 8 hours at the home and during this time we examined care records and medicine records to make sure that the health and care needs of the residents were being met. We also looked around the building at some of the bedrooms, bathrooms, toilets and sitting areas to check if they were clean, warm and well decorated. We also looked at the menus and looked at what the residents had for their breakfast, lunch and evening meal. We also checked how many staff were provided on each shift to make sure the residents needs were being met, and also looked at how management recruit and train their staff. We also looked at how management check that the care and services that they provide is what the residents and their relatives want, or expect. How the home manages the residents’ spending money was also looked at. In order to get further information about the home we also spent time speaking to 1 resident, 2 visitors, 4 care staff and the chef What the service does well: The manager makes sure that the staff only care for those people whose needs they can meet. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 6 Relatives feel that the residents are well looked after and they made the following comments: ‘I have never found anything less than a willingness to help or resolve’. ‘The carers seemed to be truly caring’. ‘This is the first time Ive had peace of mind and not worried about the care my relative received’. The meals provided are varied and nutritious and the residents have a good choice of menu. Enough staff are on duty to meet the needs of the residents. The staff make sure that the residents are clean, comfortable and well dressed. In order to protect the residents from harm, management make sure that they check people out properly and safely before offering them a job. Management make sure that the staff are properly trained so that they have the knowledge and skills they need to protect and meet the needs of the residents. They have exceeded the standard expected. Management continue to improve the way that they check out the quality of care and the services provided for the residents. They have exceeded the standard expected. What has improved since the last inspection? What they could do better: To protect the residents from harm, management must ensure that call bells are in place and are easily accessible for the residents. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 7 To ensure the comfort of the residents and staff on the top floor unit (Pilling) the problems with the extremes of temperatures must be sorted out. 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. Ashton View Nursing Home DS0000005669.V364199.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 Ashton View Nursing Home DS0000005669.V364199.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are properly assessed before they are admitted to the home and this gives an assurance to everybody that a person is only admitted if the staff can meet their needs. EVIDENCE: Before any resident was admitted to the home a senior member of staff from the home undertook an assessment of their needs. The assessment looks at what help and support the prospective resident needs in all aspects of daily life. The 2 assessments looked at were detailed and gave a clear indication of the residents’ needs and what they could and could not do for themselves. Standard 6 does not apply. The home does not provide Intermediate Care. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 10 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 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans show what care needs the residents have and care practices ensure that their needs are met in a safe and caring and way. EVIDENCE: Individual care plans were in place for each resident. The care plans of 2 of the residents on Evans Unit were looked at. The care plans provided a lot of information about the residents’ daily routine, their past life and their interests. One of the care plans contained a lot of information about how the residents’ needs were to be met but there was not enough information about how to manage one of the risks to the residents’ health. The resident was to receive drinks that were of a special consistency so as to prevent any risk of choking. Whilst the staff on duty clearly knew what to do to reduce this risk there was nothing written about it in the care plan. We discussed this with management who agreed to write the information in the care plan and also make sure that the information was discreetly available in the small kitchen where the drinks were made. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 11 The care plan of another resident showed that he had a lot of intensive nursing needs. This resident had a pressure sore. There was a good plan of care for the treatment of his pressure sore and a good plan of care to prevent any further deterioration.The care plan however was not as up to date as it should have been. It was not clear in the care plan whether the pressure sore had healed. Management told us that it had, but the records did not support this. We visited this resident in his bedroom. He looked very well cared for and all the correct type of equipment was in place to ensure that his needs were met. The care plans were reviewed regularly so that any change in the residents’ condition could be identified and appropriate action taken. The care plans detailed the religious and cultural needs of the residents. At the time of the inspection there were no residents of any ethnic minority. Neither were there any residents who required special diets to meet their religious or cultural needs. The staff looked at whether or not there was any risk in relation to the residents developing pressure sores, any risk of falling and also if they were at risk due to problems with their diet and fluid intake. They also looked at and they wrote down how any resident was to be assisted with being moved around and by how many members of staff and what equipment, if any, was to be used to assist in safe moving and handling. The following were some of the comments made: ‘My relative is always clean and well dressed’. ‘Doctors are called when needed. Residents are taken to the dentist when appointments have been made’. We looked at how the medicines were managed on Gerard Unit. A safe system of medicine management was in place. Medicines were stored securely and recorded accurately.Identification photographs of each resident are kept with the medication administration records. Staff were discreet when providing assistance to the residents. Staff were seen knocking on bedroom doors before entering and speaking to residents in a quiet and respectful way. Staff confirmed that the importance of ensuring privacy, respect and dignity is part of their initial training. The residents looked clean and comfortable and were suitably dressed. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 12 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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choice and control over their lives as far as they are able and are given a choice of well-balanced and nutritional meals. EVIDENCE: The residents’ routines of daily living and their social interests were recorded in their care plans. An activities co-ordinator is employed by the home and works 40 hours a week. We were told that it is not always Monday to Friday as it depends what activities are going on and where. The home shares the use of a mini bus with other homes within the Company and the residents are sometimes taken on trips out. Doing this provides opportunities for the residents to enjoy life and leisure in the wider community. A programme of activities, events, and outings was displayed in the reception area. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 13 We saw relatives coming and going throughout the day and they seemed to know the staff very well. One relative told us that they are always made welcome. We were told that one relative regularly has a meal with his wife. The visiting policy is described in the useful and informative Service User Guide that is given out to all relatives and is also displayed in the reception area and each bedroom. We did not eat with the residents but saw what they were having for lunch on the Evans Unit. The meal served was home cooked, plenty of it, and it looked appetising and nutritious. The residents have a choice of food at breakfast, lunch and teatime. Staff told us that they felt there had been an improvement in the meals since the new chef had started working there. The residents have the main meal at lunchtime and the lighter meal in the evening. Inspection of the menus and a discussion with the cook showed that there is always a choice of menu. We also saw what the residents on Pilling unit were having for their evening meal. There was a choice of menu both for the main course and the dessert. Any cultural or dietary needs, likes and dislikes were looked at when a resident is first admitted to the home. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 14 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel able and know how to complain, and staff have a good knowledge and understanding of what abuse is, thereby reducing the possible risk of harm to residents. EVIDENCE: A detailed complaints procedure was in place and was displayed in the reception area. The complaints procedure was also included in the Service User Guide that was displayed in the reception area and in each bedroom.. It is easy to understand and gives an assurance that complaints will be responded to within 28 days.A record is kept of any complaint made and includes details of the investigation and any action taken.No complaints have been made to us since the last inspection. A copy of the Local Authorities Vulnerable Adults Procedure was in place and a discussion with the care staff showed that they were very aware of the procedure to follow in the event of any allegation of abuse. Training in the protection of vulnerable adults has been undertaken by most of the staff and is an ongoing process. Records of training were kept on file. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 15 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 20 21 24 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a pleasant and safe environment that is clean and continually being improved. EVIDENCE: During this inspection we concentrated on looking at the Pilling Unit that is situated on the top floor. This was because improvements and alterations had been made recently so that the unit could accommodate more residents. It had been newly registered with us. We did however note that the other two units within the home looked clean, well decorated and nicely furnished. The Pilling Unit was very clean, well decorated and nicely furnished. The unit however was uncomfortably warm despite an air conditioning unit being in use. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 16 The staff on the unit had told us that they had complained about the heat to management and were told that it would be sorted out. Our initial thoughts were that the transparent roof/ceiling needed to be screened so that this could keep the heat out in summer and the cold out in winter. Management informed us however that they had been told that screening/blinds would not solve the problem and that more air conditioning units were the answer. Management assured us that the problem would get sorted. On the day of inspection the link corridor to the dining and lounge area was very warm as was the area of the dining room that was directly under the ceiling window. The unit has a newly installed coffee/wine bar. All the residents within the home and their visitors can use this at certain times of the day. It is a very pleasant and useful facility. We looked at the bathrooms and toilets. Two of the toilets did not have suitable aids or adaptations to assist the residents. To aid mobility and prevent accidents, toilets need to have assistive aids. The bathrooms had assisted bathing facilities. One of the bathrooms however did not have a call bell close to the toilet. This is necessary for residents or staff to ring for help when needed. This bathroom also had an unguarded radiator. To prevent accidental burning radiators must be either of a low surface temperature or be suitably guarded. The bedrooms on the unit were clean, nicely furnished and looked very comfortable. Each had an overriding safety door lock. In one of the bedrooms the call bell lead could not be reached from the bed. We were told that an extension call bell lead had been ordered. 1 comment made by a relative was: ‘Southern Cross has spent the brass and the place looks and feels better’. All the rooms throughout the home, apart from the one bathroom, were centrally heated with radiators that were suitably protected. Thermostatic control valves were in place on immersion baths and showers and most of the sinks. The laundry was not inspected on this visit. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 17 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are cared for by sufficient staff that are safely recruited and properly trained. EVIDENCE: Inspection of the duty rotas and a discussion with staff and relatives showed that there was enough staff on duty over a 24-hour period to meet the needs of the residents living in the home. On the Evans and Gerard Units 24-hour nursing care continues to be provided by suitably qualified nurses who are supported by trained care assistants.On Pilling Unit experienced care assistants provide the care and support. We were given a copy of the training list that showed 65 of the staff had achieved their NVQ level 2 or above in care. This is very good progress. We looked at how the management recruit their staff. The personnel files of 3 staff members were inspected. All were in order and these staff had been properly and safely employed.This helps protect residents from being cared for by unsuitable people. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 18 The information received from the AQAA document sent to us showed that management provide a staff induction programme for all newly employed staff. This is to make sure that they understand what is expected of them and that people are cared for properly and safely. The information received from the AQAA document also told us about the training that the staff received. From a discussion with the manager and inspection of the records showing what training had been done and what training had been planned, it was clear that great importance is attached to ensuring that the staff are suitably trained in many areas. Comments from staff were: ‘The training is really good now’. ‘There is plenty of training and the residents feel the benefit of It’. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 19 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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and very well managed. Management continually look at the care and facilities they provide so that the residents’ welfare is protected. EVIDENCE: The manager has been in post since October 2007. He is a Registered Mental Nurse (RMN), has a law degree and a diploma in management. He is now registered with the Commission. The staff that we spoke to were very complimentary about his management style. Comments were: ‘He knows what is going on in the home. He visits every unit’. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 20 ‘He is really good. I feel supported’. ‘He is really keen on training’. A great deal of work continues to go into providing and further developing a quality assurance system for the home. This is to check on the quality of the care and services provided. From what we looked at it is obvious that the Company want to make sure that they get things right for the residents. Every month the manager of the home has to check on lots of things that affect the health, safety and wellbeing of the residents. He has to record all his findings and then his manager checks the findings and then acts on anything that may need attention. The company now have a Customer Satisfaction Team who will visit and monitor practices and speak to people about the care and services they receive. Residents meetings are held monthly and a relative confirmed that there is an open door policy with the manager. Surveys are sent out to the residents every 12 months. These ask what they think of the facilities and services provided. The systems in place for the management of residents’ money were good. The home had a satisfactory accounting system in place. Receipts were retained for all financial transactions. Information received from the AQAA sent to us and from random checking of servicing records showed that the homes’ fixtures, fitting and equipment are properly maintained and regularly serviced. We saw that regular weekly checking and testing of fire detection system, fire exits and emergency lights was undertaken and documented. Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 21 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 2 x x 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 x x 3 Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15(1) Requirement Care plans must be in place for any identified need or risk. You must make sure that the care plans are up to date and give a clear picture of the residents’ condition. You must make sure that residents are protected from avoidable risks to their health and safety. Call bells must be accessible to residents in the bathroom and bedroom identified. To aid mobility and prevent accidents, toilets must have suitable aids and adaptations. To prevent the risk of accidental burning the radiator in the bathroom must be guarded or a low surface temperature radiator fitted. The problems with the extremes of temperatures on the Pilling Unit must be sorted out. Timescale for action 16/05/08 2. OP19 13(4)(a) 31/05/08 3 4 OP21 OP25 13(4)(a) 13(4)(a) 30/06/08 31/05/08 5 OP25 23(2)(p) 31/08/08 Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashton View Nursing Home DS0000005669.V364199.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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. 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