Inspection on 13/03/07 for High Peak Lodge

This inspection was carried out on 13th March 2007.

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 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

High Peak Lodge 14/09/07

High Peak Lodge 13/02/06

High Peak Lodge 01/09/05

High Peak Lodge 02/02/05

High Peak Lodge 29/07/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE High Peak Lodge Bedford Square Leigh Lancashire WN7 2AA Lead Inspector Judith Stanley Unannounced Inspection 13th March 2007 08:30 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 High Peak Lodge DS0000005682.V319834.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. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Peak Lodge Address Bedford Square Leigh Lancashire WN7 2AA 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) 01942 262021 01942 261811 European Care (UK) Limited Adele Kettle Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39), Terminally ill (3) of places High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 39 service users to include:up to 39 service users in the category of OP (Older People) up to 3 service users in the category of TI (Terminal Illness under 65 years of age) Date of last inspection 13th February 2006 Brief Description of the Service: High Peak Lodge is a purpose-built care home, located close to Leigh town centre and local amenities. High Peak Lodge is registered to provide nursing and personal care services to 39 male and female residents over the age of 65 years. Included within those numbers the home can offer care to three residents of whom may be terminally ill. Private accommodation for residents is provided in single rooms, all of which have en suite facilities. There is pleasant communal space comprising of lounges and a dining room, as well as quiet areas near the staircase on each floor. There is a secure, private garden at the rear of the home for residents to enjoy sitting outside. Car parking for visitors is located to the front and side of the home. The current scale of fees ranges from £347.64 for residents funded by social services to between £429. 51 to £555.69 for self - funding residents. Additional charges are made for personal toiletries and magazines and newspapers. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to High Peak Lodge took place on 13 March 2007 and included a site visit. The inspection was carried out over a seven hours on one day. The homes manager was available to assist with the inspection. The inspector looked at records the home holds on residents (care plans) and other records the home needs to keep to ensure the home is being properly run. The inspector looked around the home, spoke with staff, residents and visitors. To find out more about the home comment cards were sent to residents, visitors and other visiting professionals, for example doctors, chiropodist and the district nurses asking them what they thought about the service and the care provided. There were no returned comment cards from residents, however the inspector spoke three residents at length who expressed their satisfaction about the care they received. One resident said, “It’s very nice living here, the staff look after us really well, nothing is too much trouble for them, if you need anything you just have to ask”. Three doctors returned comment cards, no extra comments were added but they were satisfied with the overall care provided to their patients. There were no completed comment cards from relatives, however four relatives were spoken with and all expressed their satisfaction about the home and the care their relatives received. One relative said, “ I don’t know what I would have done without this place, the staff and the care is wonderful”. Information received prior to the inspection indicates that there had been five complaints made to the manager of the home, one of the complaints had been brought to the attention of the CSCI. Two complaints regarding care practices have been passed to the provider to address, these are still on going. The manager has responded to two complainants and has received no further correspondence from either family and one was regarding equipment, which was promptly addressed. What the service does well: The home has a group of staff that has worked at the home for several years; this helps provide consistent and reliable care for people living at the home. The home has a very friendly atmosphere: this is evident on entering the home. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 6 The home has no restrictions on visiting times and visitors are made to feel welcome. The home provides different areas for residents to have a choice as to where they sit and with whom they chose to spend time with. The activity co-ordinator is very enthusiastic about her work and offers a wide range of activities to meet the resident’s social needs. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. High Peak Lodge DS0000005682.V319834.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 High Peak Lodge DS0000005682.V319834.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 was assessed. Standard 6 does not apply as the home does not provide intermediate care Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Pre admission assessments are in place to ensure that the home can meet the assessed needs of the residents. EVIDENCE: Three residents files were chosen for inspection. On examination all contained a pre admission assessment. This is carried out at the most convenient place for the resident either in their own home or in hospital or at High Peak Lodge. The assessment ensures that the home is suitable to meet the needs and expectations of the prospective resident and their supporters. When a person is assessed all aspects of care are looked at including, personal care and health care needs, mental state, disability, mobility, dietary needs and any special diets required, for example diabetic diets or soft or pureed diets. Other areas High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 9 assessed cover hobbies and interests, medication and any equipment required, such as bedrails. The assessment provides staff with information they need to ensure that on arrival at the home the staff are prepared and can meet the individual needs of the residents and have a base line for the drawing up of the care plan. High Peak Lodge DS0000005682.V319834.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 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with the information they need to meet the needs of the residents. Personal support is offered in such a way as to promote and protect resident’s privacy and dignity. EVIDENCE: Three care plans were chosen for inspection. The information contained on the care plans gave staff detailed information about the care each resident required. A social profile is included, this has details about resident’s present circumstances, family background for example wife or husband, children, school and work life experiences, hobbies and interests, likes and dislikes and personal worries or fears that the resident may be concerned about. This information helps staff understand the resident they are caring for better and can help generate topics of conversation. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 11 Care plans also contained a dependency assessment which covers mobility, orientation, behaviour, communication, dressing, feeding, continence, personal hygiene, sleep pattern, socialisation, safety, pain and nutrition. Catering information is also included which details the resident’s dietary requirements, for example likes and dislikes and if the resident requires a diabetic diet or a soft diet. Some staff at the home have completed training in diet and nutrition and in all files inspected completed documentation was available to demonstrate that residents are closely monitored to ensure they receive an appropriate diet and maintain a stable weight. Risk assessments were in place in the files inspected. These covered moving and handling, risk of falls, bedrails if required and for the use of hoists. There was evidence to demonstrate that outside agencies had been contacted as required for example the resident’s doctor, the continence advisor, and the chiropodist. Observations throughout the inspection showed that the personal care needs of the residents were being met. It was noted that residents were clean and nicely dressed and that ladies had recently had their hair done. Gentleman were clean and well-dressed and shaved. All staff were seen knocking on bedroom, bathroom and toilet doors and waiting for a response before entering. It was noted that when residents were being hoisted, especially the ladies that staff made sure that their clothes were adjusted to ensure that their dignity was maintained at all times. The inspector noted that there was a good, friendly atmosphere within the home, and that the staff worked well together. There was a good, respectful rapport between the residents and the staff. The nurse in charge was observed giving out the morning medication round. Medication was given out in an efficient manner. Residents were given their tablets and offered water to help them swallow them. Medication given was immediately recorded on the individual’s drugs sheet. On checking some of the resident’s tablets against the drugs sheets, medication and recording was correct and no discrepancies were noted. High Peak Lodge DS0000005682.V319834.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 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide range of activities to meet their capabilities and expectations. The meals served at the home were well balanced and nutritious and offer residents variety and choice. EVIDENCE: The home has an activities coordinator, who with the help of the residents plans a wide range of indoor and outdoor activities. The activities coordinator is very enthusiastic about her work and ensures that there is something for every one to join in with, if they wish. On the day of the inspection, residents were seen being involved with making a floral display to raffle and helping with floral arrangements for the home. Residents told the inspector about some of the other activities that took place, these included bingo, dominoes, arts and crafts, residents had made Easter bonnets, and one resident said, “ I have really enjoyed making a bonnet, we have had a good laugh”. Another resident said she was looking forward to going out for a meal with her daughter, other residents and staff, to the pub, for a Mothers Day meal. There was several High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 13 photograph albums of different activities and events that had taken place. One of the main highlights was when the home had its own “Ladies Day” as seen at Ascot. Residents took part within the home and dressed for the occasion; some selected horses from the papers and watched on TV. From discussion with the residents, this had proved to be a very successful days activity. One relative spoken with said, “There is always something going on, Linda (activity coordinator) is great, she keeps everyone motivated”. The home welcomes visitors at any times and residents can sit with their visitors in the lounge or dining area or in the privacy of the residents own room. Two visitors spoken with and were very complementary about the home, the staff and the care provided. One said, “The care here is fantastic I don’t know how I would have managed without this home and the care my relative receives. The staff have also been very supportive to me which I thank them for”. Three residents were spoken with about making decisions and choices for themselves within the home. One resident said, “ You can get up when you want and go to bed when you are ready”. The inspector asked another resident about who had made the choice of what clothes she had on that day. The resident replied that she had picked her clothes with the help of a member of staff who assisted her to get dressed. The menus were available for inspection and the home provides a well balanced and nutritious diet. The inspector observed residents coming in the dining rooms for breakfast between 09.00am – 10.00am. Residents were not rushed and breakfast was relaxed. Residents were offered a choice of cereals, toast and preserves or a cooked breakfast tea or coffee. As breakfast is not served until 09.00 and staff should ensure that early risers are offered a drink and a small snack until breakfast at 09.00am. Lunch is the main meal of the day; this consisted of braised steak and onions, carrots and swede, creamed potatoes or poached fish, chipped potatoes and vegetables, followed by jam sponge and custard or alternative desserts were available. Only two residents dined in the dining room with other residents dining in the lounge with individual tables pushed up in front of them. This was discussed with the manager who said it was the resident’s choice. Whilst the inspector agrees that residents have a choice of where they wish to dine, consideration should be given to encouraging residents to dine together in the main dining room. This will increase residents mobility instead of them sitting in the lounge, and as meal times should be a social occasion, will encourage conversation and allow staff more time to be with the residents instead of them just serving meals and trailing through the dining room into the lounge with plates of food. A lighter afternoon tea is served with a variety of options available, on the day of the inspection the options were sausage rolls and baked beans with bread High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 14 and butter or ham or egg salad, followed by choc ices or an alternative dessert. One resident spoken with said, “ The meals are very good, I have no complaints, there is always something different and you never go hungry”. The dining room is a pleasant area for resident to dine and had recently been decorated. As previously stated, residents should be encouraged to eat in the dining room as it is not being used to its full potential. High Peak Lodge DS0000005682.V319834.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents and their supporters can be assured that their complaints and concerns will be listened to and appropriate action taken. The home has an adult protection policy and procedure in place, however not all staff had received up to date training in the protection of vulnerable adults therefore placing residents of a risk from potential abuse. EVIDENCE: The complaints file was available for inspection and the manager discussed at length with the inspector about the five complaints that had been made since the last inspection. Two complaints were about care practices, these are still ongoing and are being dealt with by the provider. The manager has responded to a further two complaints and has had no further communication or correspondence with the complainants. Another complaint was about equipment, namely a special mattress for a bed, this was dealt with immediately. All the complaints have been appropriately logged and the outcomes and correspondence were documented. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 16 The home has appropriate policies and procedures in place for the protection of vulnerable adults. However it was discussed with the manager that not all staff have up to date training in this area, therefore placing residents at risk of harm. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 17 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 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is good providing a comfortable, clean and pleasant place for residents to live. EVIDENCE: From a tour of the premises, it was evident the home is maintained to a good standard both internally and externally. The grounds at the front of the home were tidy and well presented as was the garden area at the rear of the home. Several resident’s bedrooms were inspected, these were seen to be clean and tidy and residents had personalised their own rooms with their own possessions brought from home. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 18 The lounge and dining area are spacious and comfortable for residents to sit in. The foyer at the front of the home is also a pleasant area for residents to relax in. Bathrooms and toilets were clean and tidy and were fitted with appropriate aids and adaptations to assist residents. The standard of cleanliness within the home is high and no offensive odours were apparent. Systems were in place to control the risk of infection. Staff were seen wearing protective aprons and gloves for different tasks. The homes laundry is sited away from any food preparation or food storage areas and does not intrude on the residents. The laundry equipment was confirmed to be in good working order. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 19 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 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels at the home and the skill mix of the staff is good and appropriate to the needs of the residents. Recruitment and selection of staff is good ensuring the safety and protection of residents living at the home. Not all staff have completed mandatory training updates as required therefore placing both themselves and residents at risk of harm or injury. EVIDENCE: On the day of the inspection there were sufficient staff on duty. Staff rotas were available for inspection. Training for NVQ (National Vocational Qualification) is ongoing with 62 of staff have achieved NVQ level 2 in care. It was discussed with the manager, that on inspection of staff files not all staff had undertaken mandatory training as required. For example in one file health and safety had not been updated since 17/11/05 and fire safety 17/11/05. In another staff file health and safety 04/11/04, fire safety 21/01/05, moving and handling 06/09/05, and infection control 11/02/05. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 20 It is important that all staff undertake mandatory training and the manager is required to address this as soon as possible to ensure the safety and protection of residents living at the home. Three staff files were looked at. All files contained a written application form, two written references, Criminal Records Bureau checks (CRBs) and had been obtained for all staff prior to commencing work and other forms of identification we held on files, for example birth certificate, marriage certificate and a copy of a driving licence or passport. Throughout the inspection staff were seen carrying out their roles in a competent and efficient manner. The nurse in charge oversees the running of the shift, deals with medication, completes the reports and care plans and reports to the manager of the home. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 21 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): 31,33,35,36 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in consistent and reliable care for the people living at the home. EVIDENCE: The manager has the necessary skills and qualifications to manage the home. Residents, relatives, and staff were complementary about the manager and her style of leadership. They described the manager as “approachable”, “supportive”, “kind and caring”. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 22 Systems were in place for auditing and monitoring the service. This is done through staff and residents meetings, of which minutes of the meetings were available for inspection, through regular discussion with staff, residents, and relatives and through satisfaction questionnaires. The manager was reminded that the results of any satisfaction questionnaires should be collated and the results made available to residents, relatives and other interested parties. A monthly report from a member of the company is also completed and available for inspection. On checking staff files and with discussion with the manager is was apparent that staff are not receiving regular formal supervision at the required frequency, the manager is required to ensure that all staff have supervision which covers: all aspect of practice, philosophy of care in the home and career development needs. All other staff must be supervised as part of the normal management process on a continuous basis. The home holds personal allowances for some residents. These were seen to be securely stored in individual wallets. In some cases the families dealt their relative finances. Any transactions were documented on individual balance sheets and any receipts were kept. Information obtained prior to the inspection indicated that maintenance checks had been carried out for the gas, electric, fire equipment, hoists and water testing. Certificates were available to verify this information as correct. All accidents, illness and injuries were suitably recorded and the CSCI informed as required. During the inspection safe working practices were observed within the home. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 23 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 3 8 3 9 3 10 3 11 3 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 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 2 x 3 High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 24 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 OP18 Regulation 13 (6) Requirement Timescale for action 29/06/07 2 OP30 3 OP36 The registered person must ensure that all staff have received training in protection of vulnerable adults. 13 (4) (c ) The registered person shall ensure that risks to the health and safety of residents are identified and eliminated. Specifically with regard to updates in: a) moving and handling b) fire safety c) infection control d) health and safety 18 (2) (a) The registered person shall ensure that all staff are appropriately supervised. 29/06/07 30/05/07 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 OP15 Good Practice Recommendations Where possible staff should encourage residents to have DS0000005682.V319834.R01.S.doc Version 5.2 Page 25 High Peak Lodge their meals in the main dining room and not in the lounge, as this does not encourage them to move from the lounge and TV to socialise with friends during a meal. High Peak Lodge DS0000005682.V319834.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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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