Inspection on 06/03/07 for Lake View Nursing Home

This inspection was carried out on 6th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lake View Nursing Home 22/03/06

Lake View Nursing Home 26/09/05

Lake View Nursing Home 23/02/05

Lake View Nursing Home 21/06/04

Lake View Nursing Home 26/02/04

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 Lake View Nursing Home Chorley Road Withnell Chorley Lancashire PR6 8BG Lead Inspector Kevan Royston Unannounced Inspection 6th March 2007 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 Lake View Nursing Home DS0000025566.V326627.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. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lake View Nursing Home Address Chorley Road Withnell Chorley Lancashire PR6 8BG 01254 831005 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) European Care (UK) Limited Mrs Margaret Parker Care Home 51 Category(ies) of Dementia (26), Old age, not falling within any registration, with number other category (25), Physical disability (4) of places Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 51 service users to include: Up to 25 service users in the category of OP (Old age not falling within any other category). Up to 26 service users in the category DE (Dementia) 2. 3. Up to 4 service users in the category of PD - (Physical Disability) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided at all times to meet the dependency needs of service users and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 22nd March 2006 Date of last inspection Brief Description of the Service: Lakeview is a residential and nursing home providing 24-hour care and accommodation for fifty one residents of either sex over the age of sixty-five. The registration includes a specialist unit for residents suffering from mental health problems associated with dementia and four residents with a physical disability over the age of fifty. At the time of inspection fifty residents were living at the home. Lakeview is owned by European care (UK) Limited, whose headquarters are based in London. Responsibility for the day-to-day running of the home is that of the registered manager, Mrs Margaret Parker. There is an area manager who visits the home regularly to provide managerial support. The home is located near the village of Withnell, in a rural area requiring transport to reach the nearest shops and other facilities such as the post office, local pubs, and other town amenities. The home is set in extensive grounds with woodland views and views of a lake owned by a different company. The home provides accommodation on two floors, served by a passenger lift. All rooms are single and thirty-one have an en-suite facility. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 5 offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees for the home range from £366.00-£705.00 per week. Additional variable charges are made for hairdressing, newspapers, some toiletries and chiropody. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 6th of March 2007 over a period of approximately 6.5 hours. The Inspector spoke to the manager, senior nurse, six staff, eight residents a relative visiting the home, and a group of residents in the lounge area. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. Survey’s were sent to relative’s and residents for there views on how the home is run four completed questionnaires received from residents and four from relatives none were returned from GP surgeries or social workers. Comments were positive about the standard of care provided by the staff and management of Lake View. Records of three members of staff were also examined. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. What the service does well: Training opportunities for staff is very good ensuring they receive the skills and competencies to provide support for the residents. Comments from staff included, “Training is excellent”. Also, “All staff including cooks, cleaners and management attend three days mandatory training each year to update moving and handling, fire safety and other courses”. And, “The company pay for us to attend training access is good”. One resident said, “All the girls know what they are doing”. All surveys returned from relatives and residents commented positively on how the home is run and standard of care given confirming the support and care of residents is a priority. Comments from relatives included, “My husband is a patient at Lake View with dementia, staff are always aware of my feelings and Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 7 caring towards my wellbeing as well as my husband”. And, “I am very impressed with the standard of care “. The home has a settled staff team with few staff leaving since the previous inspection ensuring relationships develop between staff and residents and staff have a good knowledge of resident’s needs. One staff member spoken to said, “A lot of us have been here for years, we all get along well.” Residents spoken to confirmed the positive comments, one said, “Its like one big family”. The home carries out very clear and precise assessments of need in the different areas of care they provide service in with detailed care plans developed which take into account the residents wishes and needs. The management team are all qualified and experienced people, and show a commitment to, and a pride in, their work, taking into account the diverse needs of their residents. One relative of a resident in the dementia part of the home commented, “I was involved in every decision about the care for my husband”. A resident spoken to said, “Yes I get involved in the reviews of my care every month”. A staff member said, “Thorough initial assessments are completed by experienced nursing staff before admission”. What has improved since the last inspection? The manager is always improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to improve the home for the residents. Since the last inspection the manager continues to update and refurbish some bedrooms and communal areas so that residents continue to live in a wellmaintained and comfortable environment. The home has a designated social activities person who is responsible for arranging daily activities and outings to suit each individual’s interests ensuring the residents are motivated, stimulated and able to follow there hobbies as much as possible. A member of staff spoken to said “ We have a lot of trips out in summer, also regular meetings arranged so that residents can request activities they enjoy”. One resident spoken to said, “ Its good we have a person to arrange things for us”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 8 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. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 9 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 Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 10 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 area is excellent. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear and precise to ensure the needs of the residents are met EVIDENCE: The records of three residents were examined and had full assessment information recorded in detail. One resident is funded by social services and been assessed by social workers with information on file for the care staff at the home to develop a care plan to ensure all health, welfare and social needs are identified and recorded. A staff member spoken to said, “We ensure all the information is provided by social workers before anyone is admitted”. Another member of staff said, “Only senior staff undertake assessments”. Residents spoken to confirm they and their relatives were involved in the assessment process and were able to give their views on the care they required. One resident said, “They made me feel at ease and involved me in all the care Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 11 planning before I came to live at the home”. One relative survey said on how thorough the home was before her relative was admitted ensuring they had the correct information to provide the right care, “The manager was very caring and helpful”. Standard 6 was not assessed, as Lake view does not provide intermediate care. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: Records of three residents were examined and accurately reflected the individual’s health and social care needs. Care plans were up to date and regular reviews taking place with involvement of the residents and relatives and good information of the care provided ensuring the welfare and general wellbeing of residents is continuously monitored. One of the residents spoken to said, “Yes I am involved in my monthly review and sign the form”. Records examined confirmed risk assessments have been completed and are reviewed monthly and updated reflecting any changes that have occurred individually and in the environment ensuring the resident’s needs are being monitored. Significant events had been recorded and daily entries by carers and nurses Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 13 made, demonstrating the care given. Residents spoken to give their opinion of the care they received comments included, “I was in a right state when I first came here, now I feel a lot better because of the way the staff are”. A relative of a resident in the dementia unit said, “I am involved in all the care planning the manager keeps me well informed”. Medication practices observed were safe and good records had been kept ensuring residents health is maintained. A nurse spoken to said, “ Only trained staff administers medication”. The three medical records looked at were being accurately maintained to ensure the safety and protection of the residents. At the time of the inspection controlled drugs were being administered and examination of records, storage and handling of medicines confirmed good systems are in place with experienced trained staff to ensure the safety and health of the residents is maintained at all times. The pharmacist visits on a regular basis to provide advice and training so care staff and nurses are well informed of any changes in medication practices. A staff member spoken to said, “We have a great relationship with the local chemist he is extremely helpful and available any time day or night”. Resident’s dignity and privacy was observed during the visit ensuring residents are treated with respect. This was confirmed by observing staff members knocking on doors before entering rooms and the way staff talked to the residents. One resident spoken to said, “The staff are wonderful”. Another said, “Always respectful to me”. A member of staff spoken to said, “We discussed privacy and respecting residents during our induction training”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 14 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 and15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Breakfast and lunchtime meals were seen being prepared, and were wholesome, home baked with fresh produce providing a nutritious meal. Menus examined are balanced and interesting. Meal times are set although flexible enough to accommodate preferences. One resident spoken to said, “If I want I can have meals in my bedroom”. Resident surveys and residents spoken to commented on the high quality of food at the home. Comments included “Great choice of meals”. And, “Plenty to eat”. Discussion with cooks and staff confirmed diabetic diets, liquidised foods and food from different cultures could be provided ensuring residents from any religious faith can be accommodated. Staff spoken to said, “Liquidised foods are done separately so the presentation is good on the plate”. Also, “I have been trained in Indian cooking and aware of meals from different religions”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 15 The home has a designated social activities person who is responsible for arranging daily activities and outings to suit each individual’s interests ensuring the residents are motivated and stimulated. A member of staff spoken to said, “ A newsletter is produced monthly and residents contribute towards it”. A resident spoken to confirmed “I enjoy the meetings so we can put forward our ideas for activities and social events”. Activities are centred on each individuals preferences ensuring flexibility and residents can enjoy their own personal interests, which are recorded on their care plan. A resident spoken to said, “You can join in if you want to or just relax”. Observations of residents rooms showed personal belongings are allowed into the home so to provide a homely atmosphere for each individual. One resident spoken to said, “I have a cat the staff love it”. Residents spoken to confirmed visitors can visit at any time of the day or night. One said, “They can come and go as they like”. A staff member said, “We welcome relatives and friends at any time”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The manager and staff have good knowledge and understanding of safeguarding adult issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission and contained in the Statement of Purpose and Service User Guide. Complaints records examined confirm complaints investigated by the home have been managed in line with their complaints policy with details of the complaint, the subsequent investigation and the outcome. One complaint since the previous inspection was received by the Commission for Social Care Inspection (CSCI) and referred back to the home to investigate. Examination of the documentation confirmed this was dealt with appropriately. The manager spoken to said, “All complaints major or minor are taken seriously and investigated thoroughly. Comments from residents confirmed they know who to speak to should they wish to make a complaint. One resident spoken to said, “The matron is Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 17 available if I have any problems”. Staff spoken to are aware of the complaints procedure, one said, “Complaints are covered in induction training”. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. One staff member spoken to said, “Abuse issues and training of awareness is covered in our National Vocational Qualification (NVQ)” . Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 18 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, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment and building is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy. The home is maintained to a good standard and maintenance records confirmed there is a rolling programme of general repairs and renewal of the premises ensuring the comfort and safety of the residents is maintained. One survey returned from a relative commented, “The room was recently redecorated and I was involved in every decision especially to remove the carpet and replace it with washable floor covering”. There have been some improvements to the bedrooms of residents with redecoration and some new flooring to ensure residents are comfortable and in pleasant surroundings. One member of staff spoken to said, “We are currently in the middle of replacing carpets in bedrooms”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 19 Observation of pipe work and radiators confirm further work is required to make them safe. Radiators must be of a guaranteed low surface temperature or guarded properly so that the risk to residents is removed ensuring their safety and protection is maintained. Since the previous inspection work has been carried out to ensure radiators are safe and have low surface temperature, however guards for all the radiators would ensure residents safety. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures for the recruitment of staff are good ensuring the safety and protection of the residents. Training for staff is good ensuring they have the skills and competencies for their roles. EVIDENCE: Examination of staffing rotas confirms sufficient nursing and care staff on duty at the time of the site visit. Residents said they were happy with the care they receive from the staff and management and were well treated. Residents spoken to said, “Wonderful there is always someone to help you”. And, “Very helpful people”. Training for staff is good, records shows the target of 50 of care staff to complete National Vocational Qualification (NVQ) level 2 in care has been achieved with some staff on level 3. One member of staff said, “Yes I found it useful”. Examination of three staff files confirmed the recording procedures of the home are good. Staff records include, application forms, confidentiality statements, individual photographs, Criminal records Bureau (CRB), disclosures and references were in place to ensure the residents are protected. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 21 All checks had been completed prior to commencement of employment. To improve the recruitment procedure dates on recruitment documentation received on the font of staff records would evidence all required checks are in place prior to commencement of employment. Examination of staff records confirmed each member has an ongoing training record, discussion with personnel confirmed they had induction training when they started working for the home, carried out by the management and senior nursing staff. Comments from staff included, “Access for training is excellent”. And, “There is support by management for all courses and training we want”. One resident spoken to said, “The girls are always doing some courses or other”. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 22 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 and 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 managed well and systems and policies in place for the protection and safety of staff and residents are good. EVIDENCE: The registered manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. However there remains a recommendation for the registered manager who should complete the Registered Managers Award Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 23 equivalent to NVQ level 4 in management and care. Discussion with the manager confirmed the course is ongoing. Staff members said they found the manager and senior staff supportive and provided a clear sense leadership which enabled them to carry out there duties to the best of there ability. One staff member said, “ We can always pop in and see the manager if we have a problem”. Another said, “Always approachable”. A resident said, “The manager is always around if I want to discuss something”. Examination of records for residents confirmed they are comprehensive, well written and up to date ensuring the correct information is available throughout each stage of the treatment. Records show the management has good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. Regular staff and resident meetings are recorded and suggestions are carried out if agreed by both parties. One staff member said, “At the meeting a suggestion by a resident for a path to be provided down to the lake was made and now it is being done”. Examination of records and information received from the manager confirmed regular tests to emergency lighting, fire procedures and extinguishers had been carried out ensuring the safety of residents and staff is maintained. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 24 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 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 3 X X X X X 2 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 2 X 3 X 3 X X 3 Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 25 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 OP25 Regulation 13 (4) Requirement Steps must be taken to ensure that surface temperatures of radiators do not exceed 43(c. The risk assessments must be kept under review and radiator guards fitted if needed. Timescale for action 31/05/07 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 OP31 Good Practice Recommendations The registered manager should ensure that she obtains a relevant management qualification. Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Lake View Nursing Home DS0000025566.V326627.R01.S.doc Version 5.2 Page 27 - 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. 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