Inspection on 09/05/07 for Langrigg House

This inspection was carried out on 9th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Langrigg House 08/01/06

Langrigg House 25/07/05

Langrigg House 19/01/05

Langrigg House 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Parkside

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Langrigg House Langrigg Road Morton Carlisle Cumbria CA2 6DX Lead Inspector Mrs Margaret Drury Unannounced Inspection 9th May 2007 10:15 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 Langrigg House DS0000035210.V330388.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. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langrigg House Address Langrigg Road Morton Carlisle Cumbria CA2 6DX 01228 606391 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) www.cumbriacare.org.uk Cumbria Care Mrs Eileen Joy Muir Care Home 40 Category(ies) of Dementia (13), Old age, not falling within any registration, with number other category (40), Physical disability (1) of places Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 40 service users to include: - up to 40 service users in the category of OP (older people, not falling within any other category. - up to 13 service users in the category of DE(E). The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a large room when one becomes available. One named service user in the category of PD (physical disability) may be accommodated within the overall numbers of registered places. 8th January 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Langrigg House is located in a suburb of SW Carlisle and is close to local amenities such as health centre, shops, Post Office and public transport. The home is owned by Cumbria Care, an internal business unit of Cumbria County Council, and operated on a daily basis by Mrs Eileen Muir. The internal layout had been redesigned to offer accommodation in four smaller units, each having a sitting/dining room, and kitchenette. There is a separate 10 bedded dementia care unit and dedicated respite accommodation. These are both on the ground floor, each with its own separate lounge. The dementia care unit has a lounge and conservatory area, which can be used for private visits. The home has ample toilet and washing facilities, all of which are suitable for people with a disability. Thirteen bedrooms have en-suite facilities. Residents are able to move around the home independently with the help of passenger lifts, ramps, handrails and grab rails. There is also a day service for older people situated within the home. The fees for this service currently range from £373.00 to £434.00 per week, with extra charges for newspapers, toiletries, outings and hairdressing. This home does not provide intermediate care. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, which forms part of the key inspection, took place over one day in May. During the inspection time was spent talking to residents, the manager, members of the care team and ancillary staff. Information about residents the home and the facilities on offer were provided to The Commission for Social care Inspection (CSCI) prior to the visit and some completed survey forms were also received. Records pertaining to the care of residents were inspected and discussions about the general running of the home took place. The report refers to “case tracking”, a process by which the inspector is able to focus on a small number of residents and includes a review of their care documentation. It should be noted that this is not detrimental to other people living in the home. A tour of the building took place during which the physical aspects of the environment were inspected. What the service does well: Langrigg House provides a safe and comfortable environment in a building reasonably well suited for it’s stated purpose. The residents benefit from a trained, experienced and stable staff team who, together with the manager and other members of the senior team, deliver an extremely high standard of care. Residents appreciated the help they received and comments such as “they are lovely girls” and “ You would not find better carers anywhere else” were made during the visit. There is an in-depth admission process with all prospective residents fully assessed prior to admission. Arrangements are made for anyone wishing to move into the home to visit and enjoy a meal and meet the residents and staff. There is an excellent activities programme that includes visiting entertainers, monthly tea dances and some outings. Many of the activities are on a one-toone basis with staff working individually with the residents. Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals. The home has completed the “safer food – better business” course and passed, which has improved communication and helped with structure and training in the kitchen. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 6 Halal food has been provided for a resident staying in the home for a period of respite care. Residents’ meetings take place, which give a forum for the residents to voice their opinions and make suggestions about the running of the home. All of these suggestions are looked at and discussed with a view to implementation, if possible. The home has an excellent set of policies and procedures that ensure the safety and wellbeing of the residents and staff. What has improved since the last inspection? What they could do better: There were no requirements and only one recommendation made during this visit and the manager should continue to provide the excellent care already given to those living in the home. The organisation should look at the provision of waking night staff in this home as the needs of the residents become more acute. The manager always brings in extra night staff when required but the home would benefit from the extra staff on a permanent basis. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 7 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. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive admission procedure that ensures a full assessment of needs is completed prior to admission. Information provided guarantees all that use the service know that all individual needs will be met. EVIDENCE: The manager has recently updated the statement of purpose to include all the recent qualifications obtained by the staff. This, together with the comprehensive service user guide and brochure ensures all prospective residents and their families and/or friends have the necessary information to make an informed choice about moving into the home. The registered manager and one of the supervisors assess all new residents prior to their admission and this is used as a basis for the plan of care. No Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 10 resident is admitted without the needs assessment that is provided by the social worker as this also assists with the preparation of the initial care plan. Prospective residents and their families are invited and encouraged to visit the home to view the facilities and meet the staff and those living in Langrigg House. This also gives an opportunity to enjoy a meal and the “activity of the day”, if they wish. One resident said “It was my own decision and I have never regretted moving in”. Residents who spoke with the inspector said how much they appreciated seeing the home before they moved in. The manager told the inspector that the residents could visit as often as they wished in order to give them time to “make one of the biggest decisions of their life”. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on individual need and the principles of respect, dignity and privacy are adhered to at all times. EVIDENCE: The statement of purpose sets out clearly the aims and objectives and philosophy of care with regards to how residents’ individual needs will be met. The staff team is trained and knowledgeable in the care of older people and work well as a team to ensure the provision of a high standard of care. All residents have a plan of care that sets out personal and healthcare needs and details how these will be met. The inspector “case tracked” 4 residents, during which an in-depth examination of all the documentation was made. Information was relevant and easy to understand. Each care plan showed a risk assessment to ensure any accidents are kept to a minimum. All residents, wherever possible, take part in the monthly care reviews and sign their care plan. If this is not possible family members discuss the plan of Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 12 care and sign their agreement. The registered manager also checks the care plans on a regular basis and is present during some of the monthly reviews. Details of all healthcare visits/appointments are highlighted in the supervisors’ daily records, which ensures no appointments are missed. Residents can retain their own GP if they wish and many have requested this. Chiropody, optical and dental services are organised when required and the manager confirmed that the home has a good working relationship with the district nursing service. Medication is provided in a monitored dosage system and all the senior staff responsible for giving medication have been appropriately trained. The system allows for a second member of staff to act as a “checker” when medicines are being given to the residents. This is an added safeguard. The records were checked and found to be up to date and in order. Regular audits are completed and recorded by the registered manager to ensure there are no medication errors. The home had controlled drugs prescribed at the time of the visit and there is a suitable procedure for the recording and giving of such medication. Observations made during the visit evidenced the care and attitude of the staff when interacting with the residents. Dignity, privacy and respect are considered to be of prime importance to those delivering care and the residents who spoke with the inspector all said they were treated with the utmost respect and that their privacy was respected in every way. The home has a small quiet room, which can be made available for private visits and for families to use should this be necessary. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their life style and to retain their independence for as long as possible. Social and recreational activities meet the residents’ expectations and needs. EVIDENCE: The home promotes the individual resident’s right to live a life that is fulfilling and meaningful. Residents have a choice of activities that are varied and stimulating. The views of residents are discussed at residents’ meetings with regard to the activities they most enjoy. One of the most popular is a recently introduced monthly tea dance held at the home. There are activities arranged for most days and the monthly programme was on display in each of the units. Although the residents who spoke with the inspector were quick to point out that they did not have to take part unless they wished to. A competition had been organised for Easter bonnets, which had been enjoyed by everyone. It was noticeable during the visit that the atmosphere in the home was warm friendly and open, with excellent interaction between staff and residents. Many activities are on a one- to- one Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 14 basis, which means that residents are encouraged to chat with staff about their life before they came to live at the home. Another popular activity is the “shopping trolley”, which allows residents to purchase personal items such as tights, toiletries, cards and sweets. This is especially helpful for any resident who is unable to go out to the shops and is another way of retaining independence. Regular Communion services are arranged by the near-by Churches and there are some residents who are able to attend their own church if they wish. One resident was particularly pleased because she received communion each week like she did at home. New menus have been prepared with suggestions having been made by the residents themselves. Almost all the food is home prepared and all said they enjoyed their meals, as there was always a choice. Special menus are prepared for diabetics and/or vegetarians and the home is currently providing Halal food for a resident who is currently on respite. Langrigg House DS0000035210.V330388.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 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns through an effective and accessible complaints procedure. Residents are safeguarded by an efficient adult protection policy. EVIDENCE: Residents who spoke with the inspector confirmed that they can express concerns and opinions at any time and that they are always listened to. Staff confirmed that they were aware of the importance of listening to the residents and responding to any issues that may be raised. All residents are given a copy of the complaints procedure and the path to follow should they need to voice a concern. There is a complaints book in the home but there have been none to record since the last inspection. There is a copy of the complaints procedure on display with a copy of the statement of purpose. The home has a warm and open atmosphere that enables residents to feel safe and supported with policies and procedures in place to ensure the residents are protected at all times. The manager regularly provides training in adult protection and this subject is also covered in National Vocational Qualification (NVQ) training. It is discussed during staff meetings and supervision to ensure staff are aware of all adult protection issues. Those who spoke with the inspector during the visit showed a good knowledge of the issues and the procedure to follow should this be necessary. Langrigg House DS0000035210.V330388.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enable the residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The home is reasonably well maintained with some of the residents rooms recently redecorated. There is a maintenance programme that is overseen by the organisation’s head office, working within the constraints of the annual budget. There are, however some areas now in need of some attention and redecoration. There are sufficient bathing and toilet facilities to meet the assessed needs of those living in the home. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 17 Many of the bedrooms are small but the residents who spoke to the inspector were happy with their accommodation, particularly those with en-suite toilet facilities. The communal areas were well lit and had handrails to assist with movement around the home. Langrigg House is lacking a large room suitable for activities and entertainment although the home can use the “day centre” space once those using the facility have gone home. There is also another lounge at the front of the building that the home can use with prior agreement by the manager of the day centre. All the bathrooms are suitable for people with a disability and there are hoists and rails in the toilet areas. The home currently uses the services of Cumbria Contract cleaning services and some general assistants and the home was extremely clean and sweet smelling on the day of the visit. Observations made to the inspector by the residents confirmed that the home is always kept clean. Langrigg House DS0000035210.V330388.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in this home are trained, skilled and in sufficient numbers to provide a high level of care and support to those living there. EVIDENCE: The current staffing levels in Langrigg House are very good with the manager always ensuring she has sufficient care staff on duty to meet all the assessed needs. Apart from the regular staff the home has a bank of relief carers who are available to cover staff absences for holidays and/or illness. This means that the residents are always cared for and supported by staff they know and are familiar with. Night duty is covered by 2 waking staff but, should it ever be necessary, the manager does bring in an extra member of night staff if this would benefit the residents. This level of staff ensures those living in the home are safeguarded at all times. However, the residents would benefit from a permanent increase in the number of waking night staff on duty. Langrigg House has a full recruitment and selection policy managed by the human resources officer at head office. Cumbria Care sees the recruitment of good quality staff as essential to the delivery of an excellent service. Application forms are completed, references taken up and interviews arranged. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 19 All new staff are appointed after all the required legal checks, including an enhanced Criminal Records Bureau check, have been completed and no new member of staff work without a mentor until their induction programme has been completed. There is an ongoing staff training programme and there are 17 members of the care staff qualified to National Vocational Qualification (NVQ) level 2, with another 5 registered to start the training in the near future. All mandatory training is up to date, including manual handling, food hygiene, and risk assessment covering environmental issues and substance/ cleaning products. Training planned for the future includes, care of the dying, dementia and protection of vulnerable adults. Details of staff training are held on individual files, which means that updates are completed within the required timescale. The home is given an annual programme of available training from Cumbria care but the manager also works hard to access training courses from other sources. Residents who spoke to the inspector all said how much they appreciated the help and support they received from the staff. Comments such as “they are lovely girls” and “you would not find better carers anywhere else” were made to the inspector during the visit. All of this results in a diverse staff team that has the balance of skills and experience to meet the needs of people living in the home. Discussions with the staff evidenced that they all work as a team and support each other, whilst still being aware of their own roles and responsibilities. Those who spoke with the inspector said how much they were looking forward to the training organised in respect of the new care planning system. Langrigg House DS0000035210.V330388.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 The Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There is an effective quality assurance system that ensures residents are fully satisfied with the care and support they receive. EVIDENCE: The registered manager has the required qualifications and experience, and is highly competent to run the home and ensure it meets its stated aims and objectives. She has the best interests of the residents at heart and has a clear vision of the home that is based on strong values and priorities. She has a high profile within the home and those residents who spoke with the inspector said she “is very approachable and I can speak to her when I want to”. There is a Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 21 very open atmosphere in the home that stems from the manager and the senior team and is much appreciated by those living in Langrigg House. The manager has been instrumental in the process to produce the new care planning system. Residents, relatives/visitors, staff and healthcare professionals complete quality audit questionnaires, with the manager looking closely at any issues raised in the replies. She then acts upon any suggestions made if this is possible. Residents’ meetings are held, which give further opportunity for those attending to share their views and make any suggestions about the running of the home. The home has efficient systems for effectively safeguarding individual’s personal money. The records pertaining to the cash held on behalf of residents were examined and found to be correct, with money signed in and out by 2 members of staff as an extra security check. All receipts for goods purchased are retained for reference. Staff supervision take place every 2 months with records held on file. These meetings give opportunity for staff to discuss the policies and procedures that are in place and also to talk about any training needs they may have. Annual appraisals are also in place. There are working practices in place to minimise the risk of accidents and the home has a comprehensive range of policies and procedures in place to promote and protect the safety of residents and staff. The manager and senior team have a good understanding of health and safety issues and risk assessments covering all aspects of the running of the home. A recent fire safety check by Cumbria Fire Service confirmed that appropriate fire risk assessments and safety checks are in place and up to date. All equipment in the home is maintained under annual service level agreements. Langrigg House DS0000035210.V330388.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 4 4 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 3 X 3 3 3 X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 4 4 4 4 Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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 OP27 Good Practice Recommendations It is recommended that Cumbria Care give consideration to increasing the number of waking night staff. Langrigg House DS0000035210.V330388.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Langrigg House DS0000035210.V330388.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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