Inspection on 15/03/06 for Pine Lodge

This inspection was carried out on 15th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pine Lodge 06/08/08

Pine Lodge 12/09/07

Pine Lodge 14/06/06

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Pine Lodge Blundell Avenue Freshfield Formby Merseyside L37 1PH Lead Inspector Ms Lorraine Farrar Unannounced Inspection 01.05 15 March 2006 th Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 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 Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 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 Adults 18-65. 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. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pine Lodge Address Blundell Avenue Freshfield Formby Merseyside L37 1PH 020 8788 8084 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) The Frances Taylor Foundation Mrs Jennifer McGibbon Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of Pinelodge Brief Description of the Service: Pinelodge provides accommodation and support with nursing for 12 adults who have a learning disability. Many of the people living there also have physical disabilites and the home provides aids and adaptations to meet their needs. There are care staff available 24 hours a day, during the day there is a registered nurse in the home whilst at night a registered nurse is based in the home but shared with two homes located nearby. Pinelodge is owned and operated by the Francis Taylor Foundation, a national organisation who provide a service to people with a variety of support needs. The registered Manager of the home is Mrs Jenny McGibbon and the registered responsible person for the organisation is Mr Terry Maguire. The home is located in the middle of Formby Pinewoods and shares the site with, two other registered homes, a day centre for 65 people and a convent. All the services are for adults who have a learning disability. Services share transport, kitchen facilites, large grounds and administrative support. Most of the bedrooms are single rooms, where two people share there are screens provided for privacy. Where needed all Service Users have their own toilet, which is either in or near to, their bedroom and is adapted to meet their needs. There is a dining room, several seating areas, bathrooms, a small kitchen within the unit and a small, private, courtyard outside. The home has operated for many years as part of a larger care home registered as St Josephs Adult Services. In June 2005 the three units within this service were seperatly registered as part of the organisations aim to modernise the service. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over 4 hours. Information for the inspection was gathered in a number of ways, this included, discussion with Staff and a Service User, reading files and records in the home, a partial tour of the building and main kitchen and observation of daily life in the home. What the service does well: What has improved since the last inspection? This is the first inspection of Pinelodge since it became a separately registered care home. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 6 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. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home carry out detailed assessments for prospective Service Users but do not obtain all available information to make sure they can meet the person’s needs. EVIDENCE: A care plan for a Service User who had recently moved into the home was looked at. The home had carried out a detailed assessment of the persons needs prior to them moving into the home. This assessment helped the home to make sure that they could meet the Service Users needs and that any equipment etc was available. However no assessment by the Service Users social or health workers had been obtained. The home must make sure that they obtain a copy of the placing authorities assessment prior to offering a placement to any Service User. This will ensure that the home have as much detailed information as possible about the persons support needs and choices and that they are able to meet these. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Individual care plans are in place for all Service Users some of which need reviewing and expanding to cover all aspects of the person’s needs and choices. The home offers support to Service Users in decision making and assessing risk although at times this needs to be balanced with the homes duty of care. EVIDENCE: Three care plans were looked at belonging to people living at the home. Risk and health assessments were in place in all plans covering various areas of the person’s life, ranging from risk of abuse to moving and handling. In two of the plans these were up to date however in the third plan some of the assessments had not been reviewed since 2004. The home needs to make sure that all areas of care plans are reviewed at least every six months and sooner if needed, this will help to make sure that if the persons needs or lifestyles changed the home are still able to meet their needs. One care plan contained a detailed risk assessment for supporting the person with drinking alcohol. This was a good example of the home supporting individuals to make choices. However this issues was discussed with the Manager at inspection as the home need to make sure they are balancing their duty of care with the person’s rights to make decisions about their life. The home must consult with the person and their healthcare professionals and Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 10 provide written guidelines to support the person in a way which meets their choices and ensures staff are acting in line with their duty of care and not compromising the persons health. Care plans contained clear health and personal information and some information on the persons likes dislikes and choices. A personal profile section in plans had not always been completed to provide a full picture of the person’s personality and choices. Some of the wording used was ‘clinical’ for example ‘hair to be washed’ and was not clear that the persons should be offered choices. Both the Manager and Deputy Manager were aware of this and explained that they are working on a new format based upon person centred planning. A care plan written in this style was seen and was personal, informative and centred on the persons as an individual. Once in place for all Service Users this will provide a good basis for supporting the person with all their needs and choices. The home acts as appointee for most Service Users benefit money, records of this are maintained and those seen during the inspection were satisfactory. A Service User spoken with explained that they decide when to get up and go to bed and that they are happy with the support they get to make decisions. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 & 17 The home meets Service Users spiritual needs and provides educational and occupational facilities however these are based on site and limit Service Users community links. Staff are aware of the need to support Service Users to access the local community however this does not always happen on a regular basis. Service Users are supported by the home to maintain relationships. Meals are nutritious with support provided however there is little choice in this area, which limits Service Users. EVIDENCE: Pinelodge is part of the Francis Taylor Foundation, an organisation with a Christian ethos and any spiritual needs Service Users have are well catered for, with a chapel on site which Service Users are supported to attend. All of the people who live at Pinelodge attend the on-site resource centre several days a week, this facility is attended by other people living on site and other people who have a learning disability and live in the local community. None of the Service Users currently attend educational or leisure facilities off Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 12 the site, the home should look into facilities available in the local area and offer these opportunities to Service Users as part of their care planning. Relatives and friends of the site have successfully raised funds to replace the hydrotherapy pool. The new pool is an excellent facility that is well adapted to meet individuals’ needs and provide both a pleasant leisure facility and hydrotherapy. Records in the home showed that Service Users receive some support to get out and about with recent activities including, use of the pool, eating out and shopping. Service Users have also been supported to go on holiday in the past year. Recent staffing difficulties have meant that the home has not always had staff familiar with Service Users and able to support them to get out and about. The home has access to an adapted mini bus several days a week and access to adapted taxis is also available. One Service User spoken with said that they do get to go out sometimes but would like to do this more. Records evidenced that the home work with Service Users relatives and welcome visitors at reasonable times. A policy is in place for supporting Service Users with relationships. Service Users opportunities to meet people without disabilities are limited to visitors and outings into the local community. There is a small kitchen in the home, which can cater for drinks and snacks. A main kitchen on site is responsible for providing main meals. These are sent to the home on a heated trolley and served by staff from the smaller kitchen. Both kitchen were visited and were clean and well maintained. There was a good supply of food including vegetables and fruit juices with all food labelled appropriately. The main meal of the day is served at lunchtime and on the day of the inspection this was, lamb, carrots and roast potatoes with chocolate cake and custard. A lighter meal is served in the evenings, this was, pizza, spaghetti hoops and various puddings. No choice is routinely offered, although a member of staff explained the home are currently working with a dietician looking at the meals offered and that the kitchen do send a separate meal for one Service User and alternatives can be requested. In order to give Service Users more choices their daily lives and help them to develop these skills the home should offer a choice of meals at mealtimes. Many of the people living in the home require support and mealtimes and this was seen to be offered on a 1-1 basis by staff. , Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19&20 The home provides appropriate support to Service Users with their health and personal care and manages medication safely. EVIDENCE: Care plans contain clear assessments and detailed information about the person’s health and personal care needs and include, assessments of their pressure areas, moving and handling needs and nutrition, all of which had been reviewed regularly. Records showed that the home works well with other health care professionals and obtains appointments and advice for the Service User when needed, this includes, GP, Dietician, Clinical Psychologist and Occupational Therapist. Information about the support needed with personal care is detailed and includes the persons choices and likes and dislikes as well as their support needs. The home has a separate room to store medication, which was clean and tidy with medication stored appropriately. Records of medication given or omitted were clear and signed for and guidelines are in place for medication prescribed ‘as required’. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has policies and procedures in place to protect Service Users. The management of Service Users monies needs to be investigated to ensure it is in keeping with information provided by the home. EVIDENCE: The home has copies of the local authority adult protection policy and the Manager is aware of the procedures to follow. Staff in the home have received training in adult protection with some staff attending a course run by the local self-advocacy group. The home has responded positively to adult protection investigations. Most of the Service Users’ monies are managed by the Francis Taylor Foundation and the on-site administrator, their systems for managing these are in keeping with legal guidelines and Service Users are given the personal allowance part of their benefits as soon as it is due. A small safe is provided on the unit and records of monies and the amounts held were checked for three Service Users and were in order. It was noted that the Service Users contract states “Pinelodge are prepared to assist Service Users in organising holidays …. If the Service User needs or requires the help of a staff member whilst on holiday, Pinelodge will make the necessary arrangements within their budget to cover staffing costs”. However the organisation have recently charged Service Users £35 per night of their holiday with the money requisition form stating this is for “holiday night payment”. The organisation must investigate why this amount is charged and if Service Users or their representatives have formally agreed it. If this is in conflict with the written Service User contract arrangements must be made to rectify the situation. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 There is sufficient space within the home for service Users, visitors and staff. Some areas are decorate to a high standard, however some communal areas are uninviting and do not appear homely. EVIDENCE: Communal areas in the home include, a large dining room, two lounges, a seating area, bathrooms a kitchen and small courtyard. The home shares extensive grounds and parking with other services on the site. All areas of the home are accessible to people with mobility difficulties and the home provides a variety of equipment to meet peoples needs in this area. The home is in the middle of Formby pinewoods and although in lovely surroundings it is quite isolated from the nearby community, staff are aware of this and of the need to support service users to use local facilities. As a purpose built home Pinelodge does not fit in with other properties in the local area and is recognisable as a care facility. However the fact that it is now separately registered from the other homes on site means that it is beginning to take on its own identity as a separate facility. Bedrooms are furnished and decorated to a high standard and personalised by the Service User or their representative. The lounge areas are not as appealing, the walls in one lounge were scuffed and furniture was misPine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 16 matched. The home was in the process of altering the use of the second lounge to provide a light and sound area. They should give some consideration to decorating and furnishing the lounge to provide a more homely and inviting room. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34&35 The home has an experienced staff team with management and the organisation aware of how the team is operating and taking action to improve the service if needed. Clear recruitment polices are in place and staff receive some but not al of the training required to keep Service Users safe. EVIDENCE: The home has not yet met the national standard for staff qualifications, which states at least 50 of care staff should hold a care qualification (NVQ). However of the 10 carers working in the home 4 have obtained this qualification and another 2 are working towards it. Staff spoken with had a good understanding of Service Users choices, support needs and communication methods. In the past year there have been concerns regarding staff attitudes and the home and organisation have responded positively to these with regular staff meetings and training held. At the time of the inspection the home were experiencing some staffing difficulties and were using a higher than usual number of agency and bank staff. Records showed that the home operates a good recruitment procedure with a clear format for interview, most checks carried out, including CRB and POVA, references obtained and staff given copies of the terms and conditions of employment. Not all forms of identification required are held by the home, this includes, a photograph, and copies of birth certificate and passport, the Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 18 home should also obtain and keep on record a health declaration from the member of staff. Some staff training has taken place in the home, this has included, moving and handling, Protection of Vulnerable Adults, attitudes and values, NVQ, fire and the Learning Disability Award Framework. A structured induction programme is in place for new staff. The home needs to make sure that all staff have up to date training in moving and handling and basic food hygiene. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home is well managed with the Manager working towards a management qualification. Quality assurance systems are in place but not always completed. Most areas of health and safety are well managed, however some checks required to ensure the safety of the service are not always carried out. EVIDENCE: Mrs Jenny McGibbon is the registered manager of Pinelodge. She holds a registered nurse qualification for working with people with learning disabilities and has worked in a management capacity for some time. She does not currently hold a management qualification but stated that she is working towards obtaining this. The home has a system in place for carrying out quality assurance audits of their service. This was begun in August 2005 and is based on national care standards. The audit was not completed but the manager explained an appointment was booked with the organisations quality assurance manager for the following week. The organisation do send some regulation 37 notices to the CSCI but need to ensure these are sent one very occasions there is an event in the home which affects service users well being. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 20 The home manager is clear about the aims of the home and has clear plans for improving the service offered. Satisfactory records and certificates were available for small electric appliances, fire, emergency lights, electrics, water and the hoist. A yearly gas certificate was not seen however this has since been forwarded to the CSCI by the organisation. The fire book evidenced that regular fire drills are carried out with a good assessment of how these went recorded. No record of weekly fire alarm tests was available, the home must make sure these are carried out and recorded weekly to ensure the safety of the system. In the main kitchen records for fridge, freezer and food temperatures had been kept until 5/03/06 with no further records for the past 10 days. The home must make sure that these records are maintained daily to ensure food safe to eat. Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X 2 2 X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pine Lodge Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 3 2 X X 2 X DS0000063016.V290434.R01.S.doc Version 5.0 Page 22 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. 1 Standard YA2 Regulation 14(1) Requirement The home must obtain a copy of the service users placing authorities assessment prior to admitting a new service user. The home must make sure that all areas of care plans are reviewed at least every 6 months. The home must provide written guidelines to support a service user in a way which meets their choices regarding alcohol consumption and ensures staff are acting in line with their duty of care. The organisation must investigate money paid by service users for staff support on holiday and if Service Users or their representatives have formally agreed it. If this is in conflict with the written Service User contract arrangements must be made to rectify the situation. They must inform the CSCI of the outcome of this investigation. Timescale for action 30/04/06 2 YA6 15(2)(b) 19/05/06 3 YA6 15(1) 19/05/06 4 YA23 13(6) 03/05/06 Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 23 5 YA34 17(2) 19(1)(b) The home must obtain all identification documents for staff, this includes, a photograph, copies of birth certificate and passport and a health declaration from the member of staff. The home must arrange for all staff to hold an up to date moving and handling certificate. The home must arrange for all applicable staff to hold a basic food hygiene certificate. The home must ensure that regulation 37 notifications are forwarded to the CSCI for events which affect service users well being. The home must ensure weekly recorded fire tests are carried out. The home must ensure that daily records are kept of fridge, freezer and food temperatures. 19/05/06 6 YA35 13(5) 18(1)(a) 18(1)(a) 23/06/06 7 YA35 23/06/06 8 YA39 37 30/04/06 9 10 YA42 YA42 23(4)(v) 13(4)(c) 30/04/06 30/04/06 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 YA12 Good Practice Recommendations The home should look into facilities available in the local area and offer these opportunities to Service Users as part of their care planning. The home should offer Service Users a choice at mealtimes. The home should give some consideration to decorating and furnishing the lounge to provide a more homely and inviting room. 2 3 YA17 YA24 Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Pine Lodge DS0000063016.V290434.R01.S.doc Version 5.0 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. 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