Inspection on 22/08/06 for Lake View Rest Home

This inspection was carried out on 22nd 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 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

Lake View Rest Home 07/07/08

Lake View Rest Home 23/02/06

Lake View Rest Home 11/08/05

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 Rest Home 10/12 Lake Road Fairhaven Lytham Lancashire FY8 1BE Lead Inspector Phil McConnell Unannounced Inspection 22nd August 2006 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 Rest Home DS0000064226.V304020.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 Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lake View Rest Home Address 10/12 Lake Road Fairhaven Lytham Lancashire FY8 1BE 01253 735915 01253 735915 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) Lakeview Rest Homes Ltd Miss Sarah Williams Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered for a maximum of 29 OP (Older People 65 and over) service users 23rd February 2006 Date of last inspection Brief Description of the Service: Lake View is registered to accommodate 29 service users aged 65 yrs and above of both sexes. The home provides excellent environmental standards, all rooms are single and all have bathroom en suites facilities. The home provides personal care and consults with GP’s and district nurses regarding the medical needs of the service users. The facilities within the home are good. A passenger lift is in place that allows for independent movement between floors. Access in and out of the home can also be achieved independently as there are no steps to negotiate. A programme of activities is in place and the management and staff encourages, social stimulation, both in and outside the home. Transport is always available for outings and trips either for group events or for individual shopping trips or to keep appointments. The hairdresser visits weekly and arrangements are made for the chiropodist, dentist and optician to visit the home if the service users are unable or do not wish to access community resources. The present rate of charging is between £366 and £388.50. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The assimilation of information was used to assess the key standards that are identified in the National Minimum Standards, including: comment cards from relatives, the pre inspection questionnaire (completed by registered manager) and an unannounced inspection visit to the service. (Unfortunately no service users’ questionnaires were returned). During the visit to the home three service users files were examined, including the most recent person to go and live at Lakeview and discussions took place with some of the service users throughout the day. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. At the inspection there was a really good atmosphere in the home and the service users, staff, and the visitors who were spoken to, commented individually about the “good atmosphere in the home”. The registered manager was available throughout the day and there was the opportunity to have conversations with other staff members including the deputy manager and one of the service users’ relatives, who was visiting her mother. This person said, “When I walked in, I felt that this is a homely place for a start”. The homes policies, procedures and all other documentation including health and safety files and certificates were examined as well as a full tour of the home being carried out. What the service does well: The home provides a good quality of care, with a committed and well-trained staff team. The manager is proactive in encouraging service users in the planning of activities and events (garden party) and in the recently introduced service users’ meetings. The home has developed good relationships with service users’ families and continually works hard at maintaining them. The environment in the home is of a good standard, with a relaxed and very pleasant atmosphere. The training provided is of a good standard, with the staff being appreciative of the training being made available to them. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 6 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. Lake View Rest Home DS0000064226.V304020.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 Lake View Rest Home DS0000064226.V304020.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): 3. (Intermediate care is not provided). “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home has a good and thorough pre-admission process in place to help ensure that as much information as possible is gathered, in order to be able to provide a service user’ needs. EVIDENCE: Three service users’ files were examined including the most recent person to come to live at Lakeview and all of their files contained relevant assessment documentation including: admission assessments (homes own), social services assessments, care plans and up to date daily record sheets. The manger said that the staff are being encouraged to document as much as possible in the daily notes, this will help keep everyone informed of any changing needs of individuals. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 9 One person’s notes stated that a relative was thrilled on how their relative had settled and said that, “She was a totally different person”. A thorough and robust pre-admission process was in place and in discussion with the registered manager and with a service users’ relative, it was clear that the process was being successfully used for people coming to live at the home. A relative commenting on the pre admission process said, “we made two or three visits to the home before deciding on Lakeview” and “I wanted to find a place for my mother, with what she was used to, it’s a lovely home with a family feel about it”. Service users’ files also contained, contracts, terms and conditions, insurance details and appropriate and relevant risk assessments. Lake View Rest Home DS0000064226.V304020.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 and 10. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The care documentation is good, helping to ensure that individuals assessed personal and health needs are satisfactorily met. The storage, administration and recording of medication were thorough and concise, helping to maintain and improve service users’ health and wellbeing. Dignity and respect were actively demonstrated in the way that care was seen being provided to service users. EVIDENCE: All of the service users’ care plans were examined and were found to be up to date, containing relevant information with guidance on how to provide individual personal care and how to meet a person’s health care needs. Senior care staff in consultation with family members review the care plans monthly. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 11 Documented information was available with regard to service users’ specific health needs and there was evidence that, hospital appointments, GP’s appointments, physiotherapists and other treatments and consultations with other health professionals had been carried out, demonstrating that individuals health needs are provided. The staff have also undergone other specific training in order to be able to maintain a good level of care and support to vulnerable people, including: Dementia awareness, Parkinson’s awareness, Diabetes care and foot care for people with diabetes (a number of people in the home have diabetes). A relative said, “My mother has diabetes and her needs are well catered for, the home arranged for her new GP to visit and the GP is absolutely 1st class, they also arranged for the district nurse to provide treatment at the home instead of going to the hospital” and went onto say “everything that I was struggling with before, the home now does for my mum” another wrote, “I have always been very happy and satisfied with the care taken with my Aunts’ welfare”. The medicines were stored in a secure locked cupboard, with medication procedures and records being correct and up to date. Only appropriately trained staff are involved in the storage, administration and recording of medicines. Each service users’ record had a photograph with a list of any allergies. None of the present service users self medicate, however, some people are supported to administer their own medication. The manager said that, “the local pharmacist is going to provide a lockable trolley, which will improve the administration of medicines”. A monthly audit of medicines is carried out and GP’s hold regular medication reviews for service users, which helps to guarantee that correct medicines and dosages are administered to service users, in order to safeguard, promote and maintain their health. Throughout the day, staff were observed speaking to service users in a polite, courteous and respectful manner and people were responding in a positive and engaging way. It was evident that a good rapport existed between staff and service users. A relative commented, “all of the staff are very caring, they sit and talk to people and I have seen how they encourage people to drink, so that they don’t dehydrate”. Lake View Rest Home DS0000064226.V304020.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 and 15. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. Visitors are made welcome to the home, demonstrating that relationships with family and friends are maintained and encouraged. The meals provided are wholesome and nutritious, with the food menus providing a balanced diet, helping to promote a healthy eating plan for all service users. EVIDENCE: During the inspection visit it was observed that staff work closely with the service users and people were supported to participate in varied activities, for example during the afternoon some of the service users were playing bingo and staff members were supporting people in a considerate and caring manner. It was also apparent that individuals were familiar with the ongoing activities and appeared to enjoy them. One visitor commented, “When I visited my mum, I was pleasantly surprised to find her doing crafts”. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 13 Other activities, which take place regularly, are, skittles, dominoes, playing card games, art & crafts (observed some of the cards that service users have made), concerts and the hairdresser visits weekly. The home has it’s own mini bus and service users have regular trips out to the theatre and days out, “especially in the summertime”. One comment was, “the home is always looking to stimulate people, there are regular events, but also spontaneous events take place”. A garden party had been arranged for the following bank holiday Monday with relatives and service users actively involved in arranging and running the event. The garden party was the idea of one of the service users, helping to demonstrate that service users are involved in the planning and preparation of events and activities. Relatives commented that they are welcome to visit at any time and the staff, always give them information on the health and wellbeing of their relative, it was evident that good relationships exist between staff and service users’ families. One of the comments received included, “Whenever we visit we are always made welcome and it’s always the same, they don’t put on a show for visitors”. There was a choice of menus available, which were seen to be nutritious, varied and appetising. There was the opportunity to observe the service users having lunch and staff were supporting people in a calm, relaxed atmosphere, with sensitivity and gentleness. Some comments form service users regarding the meals were quite positive including: “The meals are always really good” “There’s always enough to eat” and from one of the relatives, “My mother has always been quite funny about her food, but she says the food is very good”. As already mentioned a number of the service users have diabetes and it was evident that everyone’s dietary needs are catered for. Lake View Rest Home DS0000064226.V304020.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 and 18. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. Thorough satisfactory policies and procedures were in place regarding complaints and the protection of vulnerable people, helping to ensure that service users are protected from harm. Staff members are suitably and adequately trained, in order to manage any protection issues. EVIDENCE: The home had comprehensive complaints policies and procedures in place regarding the safeguarding and protection of vulnerable adults. No complaints have been received since the last inspection and the comment cards received from relatives all indicated that they were fully aware of the complaints procedure, with one person saying, “I have never had to complain, but I would know how, if I needed to”. The staff who were spoken with, knew whom they could speak to in the home if they had a complaint. They were also aware that the inspector for CSCI (commission for social care inspection) could be contacted if they chose to do so. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 15 There was also a whistle blowing policy, which encourages all staff to report any suspicion or alleged incident of abuse, there was a copy of ‘No secrets in Lancashire’, which is a Department of Health document, giving clear guidance on how to identify any sort of abuse and how to manage any suspected or alleged abuse incident. All staff receive training in the protection of vulnerable adults and the members of staff spoken to were fully aware of the procedures to follow in the event of any suspicion or alleged abuse and would be confident in the process, to ensure the protection of service users. It was observed that all members of staff have had Criminal Record Bureau Checks, (CRB) this helps to safeguard that only appropriate people are employed to support and care for vulnerable adults. Lake View Rest Home DS0000064226.V304020.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 and 26. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The home is clean, hygienic and well maintained, helping to ensure that people live and work in a safe, comfortable and pleasant environment. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard. It was clean, homely, comfortable and hygienic with an adequately equipped kitchen and laundry. Generally a good standard of décor was evident throughout the home with all of the service users’ bedrooms having en-suite facilities, with their rooms having their own identity containing individuals’ personal belongings, such as photographs and ornaments. One visitor said, “The rooms are kept spotless” and another comment was, “A good home, well kept”. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 17 The home is also well furnished, with good quality furniture in the spacious communal lounges and dining room. There was appropriate specialist equipment observed around the home, such as lifting hoists and walking frames, thereby helping to ensure that individual needs are catered for, whilst independence is promoted. The outside of the home was easily accessible to service users and it was neat and tidy, with nice hanging baskets and seating areas for people to sit out in the warmer weather. Overall the environment of the home was observed to be safe, comfortable, hygienic and well maintained. Lake View Rest Home DS0000064226.V304020.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 and 30. “Quality in this outcome area is ‘Good’. This judgement has been made using available evidence including a visit to this service”. The staff team have the necessary skills and experience to provide a good standard of care to vulnerable people. The home’s recruitment process is robust and thorough, giving the confidence that service users are protected and safeguarded. A satisfactory training and supervision programme is in place, which gives staff the encouragement and confidence to know they are trained, supported and equipped to deliver a good service to vulnerable people. EVIDENCE: The staffing levels were examined and found to be adequate and satisfactory, with the staff files containing information with regards to the experience, skills and training that staff have received with mandatory training being provided to all staff. Over 50 of staff have attained the National Vocation Qualification level 2 in care (NVQ) with one person working towards obtaining level 3. The organisations recruitment policy and procedures were seen to be robust and thorough, with all staff having had criminal records bureau checks (CRB) Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 19 and relevant references in their files, thereby helping to demonstrate that people are safeguarded and protected, with having a thorough recruitment process. Throughout the inspection / visit staff were observed demonstrating, a caring, sensitive, dignified and respectful approach to service users, with service users responding positively and it was evident that good relationships existed between service users and the care staff. Supervision and training records were inspected and found to be satisfactory, helping to demonstrate overall that the provider is dedicated to ensuring that staff are regularly supervised and appropriately trained, in order to provide a good service to vulnerable people. The organisation provides good, relevant and appropriate internal and external training including: protection of vulnerable adults, dementia awareness, medication, infection control, fire training and control of substances hazardous to health (COSHH). Some comments were, “The training is really good”, “I have learned so much” and “we have a really good team, we work well together and compliment each other”. Team meetings are held every six months with senior staff having weekly informal meetings. A service users meeting was held recently and the manager said, “We were really happy with the way it went and they will become more regular”. Lake View Rest Home DS0000064226.V304020.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 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 well managed and organised, ensuring as much as possible that service users receive a good quality service. The financial arrangements for service users were thorough enough to ensure that individuals’ finances were protected. EVIDENCE: The registered manger has over seven years experience in providing care and has been the registered manger at Lake View Rest Home for the past three years. She has a management degree and is presently in the process of achieving ‘The Registered Manager Award’ (RMA) and has also completed a number of relevant and appropriate courses. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 21 The deputy manager also has a number of years experience in care work and is presently completing the national vocational qualification (NVQ) in level 4 in care and is hoping to commence studying for The Registered Managers Award, once she has obtained the NVQ. The home’s policies and procedures had been reviewed and were up to date, helping to ensure that policies are kept up to date and relevant for the care and protection of vulnerable adults. For the sixth year running the provider has maintained the ‘Investors in People’ award, which is an independent standard of quality assurance, demonstrating that the provider is committed to providing a quality service for the benefit of the service users. There was documented evidence that all staff have received mandatory training, including: moving and handling, protection of vulnerable adults, control of substances hazardous to health (COSHH) and infection control, with refresher courses being available when needed. There was an up to date health and safety policy, with comprehensive, individual and corporate risk assessments, promoting the health, safety and independence of service users. The homes health and safety certificates were inspected and most of them were found to be up to date and in order, including: legionella bacteria check (02/06), electric inspection, fire equipment (02/06) and emergency lighting inspections. Although there was evidence of a gas inspection having taken place, there was no ‘inspection certificate’ available regarding a gas inspection. The manager was informed that a certificate of inspection regarding gas installation is to be obtained from a CORGI registered person, to help ensure that the health and safety for service users and staff is safeguarded. There were procedures in place, regarding service users’ finances, with appropriate and adequate records and receipts being kept, helping to ensure that people’s finances are safeguarded. Lake View Rest Home DS0000064226.V304020.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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 3 Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NONE 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. Standard Regulation Requirement Timescale for action 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 OP38 Good Practice Recommendations Ensure that all health and safety inspection certificates (Including Gas inspection) are issued by recognised and accredited companies. Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Lake View Rest Home DS0000064226.V304020.R01.S.doc Version 5.2 Page 25 - 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. 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