Inspection on 10/08/06 for Cumbria House

This inspection was carried out on 10th August 2006.

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

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

Other inspections for this house

Cumbria House 28/01/09

Cumbria House 24/10/07

Cumbria House 28/11/05

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cumbria House 84/86 Shorncliffe Road Folkestone Kent CT20 2PG Lead Inspector Ms Patricia Green Unannounced Inspection 10 August 2006, th 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 Cumbria House DS0000064465.V300720.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. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cumbria House Address 84/86 Shorncliffe Road Folkestone Kent CT20 2PG 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) 01303 254019 Cumbria House Miss Julia Louise Carter Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: Cumbria House is a detached property in Folkestone situated within easy walking distance of local amenities and public transport. The accommodation comprises of 25 single rooms and 4 double rooms. Six rooms have en suite facilities. All rooms are currently being used for single accommodation and there is a shaft lift enabling access to services users to all parts of the home. There are three communal lounges and a large dining room. The communal space per service user is 3.4 sq mts and there are ten rooms below 10 sq mts. This information must be clearly stated in the homes Statement of Purpose. There are mature, well maintained gardens which have ramps for easy access for wheelchair users. There is a large patio area where service users can sit and relax. The current scale of charges range from £330 - £425. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit to the home was unannounced and took place over 2 days, 10th & 15th August 2006. During the visit the premises were toured, a broad range of documentation was viewed and the manager, deputy manager, staff and residents were spoken to. What the service does well: What has improved since the last inspection? The home’s Statement of Purpose has been reviewed. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 6 Care planning records have been reviewed and updated, with daily records being signed and any accident being recorded as part of the care plan documentation. Medication procedures are closely monitored with the necessary checks in place. Recruitment procedures have been tightened, with two written references requested before the member of staff commences employment. The system for safekeeping of residents personal monies has been reviewed. Safety checks on systems within the home have been arranged. The fire alarm system is tested regularly, with a record kept of these tests. Maintenance work within the home as identified as needing immediate action at the last Inspection, was addressed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Standard 6 does not apply to this service. QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from having detailed information regarding the home available to them and are safeguarded by the home’s pre-assessment procedure. EVIDENCE: A Statement of Purpose has been produced which gives details of the facilities and services available within the home; a copy of this document is kept in the entrance hall of the home, for viewing by residents and visitors. During the visit the home’s pre-assessment process was discussed and relevant documentation viewed; the manager and/or deputy manager will undertake the initial assessment regarding a prospective resident, so as to ascertain their care needs and the appropriateness of the home to meet those needs. The pre-assessment is recorded and information gathered at this stage Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 9 will form the initial care plan, which is added to and reviewed once the resident has moved into the home. The prospective resident and their family are invited to visit the home so as to have the opportunity to meet with staff and residents and to view the accommodation on offer. Residents spoken to during the visit said that they had visited before moving into the home and felt they had been able to make an informed choice before actually moving into the home. One resident who had moved from another care establishment, made the comment that she was ‘very well informed’ before making the decision to move into the home and also said that the move for her had been a very positive one and that she had settled very well. It was also said by residents that staff had been very helpful when moving into the home, with encouragement given to bring personal items to make their own room ‘homely’ and personalised. On moving into the home the resident is given the home’s Service User Guide/terms and conditions, which includes the fees to be charged; should the placement be funded through the social services department then a contract for the placement will have been agreed with this department. A trial period is agreed with the resident, with a review held at the end of this time to ascertain how the resident has settled and identify any additional care needs at this stage. Cumbria House DS0000064465.V300720.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Care planning records are detailed and clearly identify care and health needs. Residents are safeguarded by being supported by staff who are well trained, including medication procedures. EVIDENCE: Care planning documentation is detailed and clearly identifies the care and support needs of residents; within the care plan, a ‘moving & handling’ and ‘client handling’ risk assessment are included, however as discussed with the deputy manager there is a need to ensure that risk assessments, relating to the daily life support needs of the individual resident, are more detailed so as to clearly guide staff in ‘risk’ areas for the resident. Evidence was seen of the monthly reviews that are in place as well as reviews of care undertaken with Care Management and involvement of the resident’s family. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 11 In discussion with the deputy manager ‘a key-worker’ system was discussed; the deputy manager commented that this system of working had been introduced previously and was now to be reviewed as a possible development in the support of residents. As part of care planning the resident’s health care needs are identified with involvement recorded with the GP, District Nurse, Chiropodist, Optician, etc., visiting the home. In discussion with staff they demonstrated a good awareness of the residents individual needs; both the manager and the deputy manager work closely with the staff team in the delivery and monitoring of care. During the visit staff and residents were noted to be positively interacting, with staff demonstrating a respectful approach to the residents; it was noted that staff knock and wait for a response before entering the resident’s bedroom. At the time of the visit the home had very recently changed to using the monitored dosage system of medication; the deputy manager, whom has overall responsibility for ordering, checking on arrival at the home and general administrative procedures relating to the residents medication, said that the transfer to the new system had gone well, with members of staff involved in medication procedures, very positive regarding the new system. Medication was seen to be securely stored, however storage and the transportation method currently in place has been reviewed; the deputy manager confirmed that once the planned refurbishment works at the home are complete (planned in the near future), then a secure medication trolley will be used as the mode of transporting medication around the home. It was confirmed by the deputy manager that only those staff whom have undertaken the appropriate training will be involved in giving medication to the residents The deputy manager as part of her role carries out regular audits of medication practice and the supervision of staff in this area. As part of the maintenance of independence for the resident, an assessment is carried out in regards to the resident having responsibility for self – medicating; the home has produced documentation in regards to this choice and during the visit a ‘self-medication’ form was seen relating to one of the resident’s. Cumbria House DS0000064465.V300720.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from being supported by staff who encourage and respect individuality and choice and where contact with family and friends is welcomed. Meals served at the home are decided upon with the residents involvement. EVIDENCE: Residents spoken to praised the staff for their general helpfulness and friendliness; they said there were no restrictions placed upon them and they could go to there room at anytime; they said they were able to go to bed and get up in the morning at the time they chose. The atmosphere in the home was noted to be ‘friendly and relaxed’ with residents engaging with one another as well as with the staff. Residents said they are encouraged and supported to continue with their own particular interests, both in and outside of the home. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 13 Residents confirmed they are able to have visitors call at the home at any time and they are made to feel welcome; a number of residents said they enjoy going out with their family. Contact with relatives is acknowledged by management as being an important component in offering care to the resident and this was clearly demonstrated as seen during the second day of the site visit. Residents spoken to said that the meals at the home are generally very good; staff ask the residents each day for their choice of food for the following day. Food served to residents is recorded; staff spoken to said residents have a wide choice of food, both for the main meal and deserts. The home has in recent months experienced a change of cooks; however this situation appears to have stabilised with a cook now employed working the main part of the week and a cook working at weekends; as identified however, there is an urgent need for the main cook to undertake training in Basic Food Hygiene as a minimum (see relevant section). Cumbria House DS0000064465.V300720.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents are protected through the home’s complaints procedure and by being supported by staff who have received guidance and undertaken training in Adult Protection. EVIDENCE: In discussion with residents they said that the management and staff were very approachable and said they felt able to speak to them should any concern or ‘worry’ arise; one resident spoken to gave a recent example of a situation when she had spoken to the manager and registered provider and commented that she felt satisfied with the outcome. The home has produced a written complaints procedure, this being included in the home’s Service User Guide/terms and conditions, which is given to the resident on admission to the home. The management have given much focus to ensure that staff have undertaken the required and necessary training to develop the skill level to support residents; as part of this training programme staff have been given guidance and undertaken specific training in Adult Protection; evidence was seen of this during the visit. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 15 Cumbria House DS0000064465.V300720.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24 & 26 QUALITY IN THIS OUTCOME GROUP IS ADEQUATE. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from living in a home which is kept to a good standard of cleanliness and comfort; however there is a need for extensive refurbishment in parts of the home so as to increase the overall standard of the environment. The call bell system fitted within the home should be reviewed so as to avoid annoyance and disturbance to residents. EVIDENCE: The home in general offers a clean and comfortable environment, with communal areas nicely furnished, creating a ‘homely feel’. However on the recent change of ownership, the need for refurbishment/upgrading of the home was identified as needing priority, so as to improve the overall standard of the premises and the subsequent positive effect this will have on the quality of life for the residents. The registered provider has drawn up a plan of Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 17 refurbishment and it is envisaged that work on the home will commence shortly; on touring the home many corridor areas and a number of bedrooms were noted to be in particular need of attention. Residents have been consulted regarding the forthcoming planned work, which may necessitate some residents having to be relocated to an alternative room while their allocated bedroom is upgraded; residents in general were positive regarding the planned work; one resident particularly commented that she was looking forward to her bedroom being refurbished as this would improve her immediate surroundings greatly. In discussion with residents however, there was some concern expressed in regards to the call bell system in place within the home; as experienced during the visit the call bell system when activated is of a very high volume and therefore can cause annoyance and disturbance, particularly during night time hours. To avoid this disturbance the call bell system fitted within the home should be reviewed. There is also a need and it is recommended as part of the refurbishment planned, that all radiators are covered or have low surface temperature. On moving into the home residents are encouraged to bring personal items with them, so as to make their room very much their own space; one resident spoken to said that she had been able to bring items of her own furniture, which had meant a great deal to her to be able to bring these specific items on moving into the home. On touring the home residents bedrooms were seen to be very individual in appearance, with many personal items having been brought with the resident. In discussion with staff they demonstrated a good awareness of Health & Safety issues and of Infection Control; staff said that they had received guidance/training in both of these areas. On arrival at the home it was noted that visitors are asked to cleanse their hands by the use of a cleansing solution. Cumbria House DS0000064465.V300720.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents are safeguarded by the home’s recruitment procedures and by being supported by staff who are well trained and supervised. EVIDENCE: The management have introduced a robust recruitment procedure and this was demonstrated in viewing a selection of staff files during the visit; all applicants are asked to complete an application form, with two written references taken up, an identity check, and POVA/CRB check undertaken. On commencing employment the new member of staff is issued with a job description, contract of employment and will undertake a period of Induction training; the Induction training check list was seen during the visit relating to a selection of staff members, with this written record being signed by the staff member and supervisor on completion of the training areas. Four new staff members have recently been appointed; the compliment of staff is near identified staffing hours, with one vacant post still to be filled at the time of the visit. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 19 Training in general has been focused upon with the manager having an allocated budget, which is felt is currently adequate to meet the training costs of staff members. Staff have undertaken a range of courses, including Mandatory training and courses covering general care practice (there is a need for further training in Food Hygiene practice to be organised – see relevant section of this report). NVQ training is encouraged, with six staff now having completed at Level 2 and four staff completed at Level 3; in discussion with staff they commented that they felt they had benefited very much from the training and said they had been well supported by management. In their day to day role, the staff commented that they felt very well supported by management, with the manager and deputy manager making themselves very accessible to the staff. It was evident from this site visit that there is a close working relationship between the staff and management with both the manager and deputy manager very much involved in the daily life of the home. Cumbria House DS0000064465.V300720.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 THE QUALITY IN THIS OUTCOME GROUP IS GOOD. THE JUDGEMENT HAS BEEN MADE USING AVAILABLE EVIDENCE INCLUDING A VISIT TO THE SERVICE. Residents benefit from living in a home which is well run and managed and where there is good general awareness of health & safety issues; however there is currently a need to ensure that Food hygiene training is undertaken by all those handling food, including an immediate need for the cook to undertake this training. EVIDENCE: In discussion with residents they made particular mention of the accessibility of the manager; they commented that the manager ‘always spoke to the residents on a daily basis’ and this was said, ‘to be much appreciated’. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 21 The manager has fostered an ‘open door’ approach and as part of daily practice, she and the deputy manager make themselves available to both residents and visitors to the home; this accessibility was particularly observed during the second day of the site visit, involving relatives visiting the home at the time. In discussion with both the manager and the deputy it was evident that they work very closely together in the daily management of the home. During the second day of the site visit the manager was away on holiday, leaving the home in charge of the deputy manager; evidence gathered on both days demonstrated that the home was well managed, with the deputy manager working very clearly and competently (as demonstrated) in the absence of the manager; both the manager and deputy manager demonstrated a good understanding of the requirements of regulation. The home has introduced a Quality Assurance process; questionnaires are given to residents and their relatives annually asking for feedback on the service; in addition ‘comment forms’ are available within the entrance hall for completion. In discussion with staff they said they had been encouraged to undertake training and felt well supported by the management. The registered provider visits the home regularly, with the required Regulation 26 reports sent to the Commission. During the visit Fire Safety records were viewed; these indicated that the fire alarm system is tested on a regular basis, with staff receiving fire safety guidance and training, with regular updates organised. Staff demonstrated a good awareness of Health & Safety issues and evidence was gained of the required Mandatory training having been undertaken, including First Aid and Moving & Handling; however as discussed with the manager there is a need to ensure that all staff involved in the handling of food have undertaken Basic Food Hygiene training as a minimum; it was identified during this visit that there is an immediate need for the cook employed at the home to undertake this training. Written records relating to the safekeeping of residents finances were viewed during the visit; monies are stored securely with all transactions recorded and receipts kept for money spent on the residents behalf (chiropody, hairdressing). Cumbria House DS0000064465.V300720.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 3 3 3 3 3 x 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 x 2 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 Requirement Risk assessments relating to the daily support of residents and their lifestyle to be further developed. There is a need for refurbishment/upgrading of the premises, which includes both communal space and bedroom areas; the Commission to be provided with a detailed plan of work to be carried out. The call bell system to be reviewed so as to avoid disturbance to residents. The cook employed at the home to undertake Basic Food Hygiene training as a minimum without delay. All other staff handling food to also undertake this training. Timescale for action 30/09/06 2. OP19 23(2) 31/10/06 3. 4. OP22 OP38 23(2) 13 31/10/06 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 24 No. 1. Refer to Standard OP25 Good Practice Recommendations To continue to ensure pipe work and radiators are guarded or have guaranteed low temperature surface Cumbria House DS0000064465.V300720.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cumbria House DS0000064465.V300720.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!