Inspection on 18/04/07 for Ruskin Lodge

This inspection was carried out on 18th April 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

Ruskin Lodge 13/01/06

Ruskin Lodge 23/06/05

Ruskin Lodge 06/08/04

Ruskin Lodge 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Bushell House

Langrigg 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 Ruskin Lodge Swinburne Road Dentons Green St Helens Merseyside WA10 6AW Lead Inspector Mrs Lynn Paterson Key Unannounced Inspection 9:00 18th April 2007 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 Ruskin Lodge DS0000022408.V295366.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. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ruskin Lodge Address Swinburne Road Dentons Green St Helens Merseyside WA10 6AW 01744 20010 01744 613081 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) Pilkington Family Trust Mrs Diane Swift Care Home 23 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (13), Physical disability (6) of places Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 13 (OP) and up to 4 (DE) and up to 6 (PD) Total to include up to 5 service users under pensionable age Date of last inspection Brief Description of the Service: Ruskin Lodge is owned and managed by Pilkington Family Trust, its purpose being to provide short periods of respite for Pilkington pensioners and their relatives. The premises are located in a quiet residential area of St. Helens, which is approximately one mile from St. Helens Town centre. Ruskin Lodge has 16 single and 3 twin rooms all with en-suite facility. Communal rooms include 2 lounge areas, a pleasant roomy dining room, conservatory and large reception hall. Visitors to the home are referred to as guests and the guest accommodation is situated on the ground and first floor with access provided from a passenger lift and main stair well. The home has ample parking areas to the front of the building and overlooks spacious, well-maintained grounds. Fees currently range between £90.00- £315.00 per week. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Ruskin Lodge was carried out during the morning of 18th April 2007 and was undertaken on an unannounced basis. The inspector met with the registered manager, the maintenance person, three care staff members and twelve guests. Care plans and other documentation were examined and the inspector toured the building. A staff training and observational visit had been carried out prior to April 07 and the inspector was able to speak with a further 24 staff at this time. It should be noted the people who stay for respite periods at Ruskin Lodge are addressed as guests and will be referred to as such throughout this report. What the service does well: The premises is furnished and maintained to a very high standard and guests spoken with said they felt it was “even better than a five star hotel”. Staff presented as caring, courteous, well -trained people who worked hard to ensure that guests assessed needs were met at all times. Guests said they felt relaxed and comfortable at Ruskin Lodge where they “lived a life of luxury”. All documentation seen was of a high standard. The manager was knowledgeable and fully competent to carry out the management role. Full quality assurance systems are in place and staff said that every staff member works hard to ensure that all services provided are excellent. Feedback from guests identified that the hard work had paid off and the service provision was “second to none”. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 6 Comments from guests included: “How can you improve on excellence”, “This place is home from home”, “Staff, are wonderful, food is wonderful, is it any wonder why we keep on coming back”. “Pilkington’s provide this very innovative service for its pensioners which gives us all something to look forward to”. What has improved since the last inspection? The home carry out an ongoing refurbishment programme and the home continues to present as a very well maintained premises in which all the essential services are maintained and modernised to ensure full compliance in all aspects of health safety and comfort. Since the last inspection showers had been added to the guest rooms and communal bathrooms had been updated. Guests said they had thought the rooms to be of a high standard before the additional facilities had been provided but now felt the bed - rooms were exceptional. The kitchen had benefited from the provision of new equipment and some work on extra venting to ensure effective throughput of air. 2 new vehicles had been provided to enable Staff to transport guests from their own homes to stay at Ruskin Lodge ands also enable staff to escort guests on day trips and outings. Staff members continue to develop their skills through training, supervision and appraisal. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 7 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. Ruskin Lodge DS0000022408.V295366.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 Ruskin Lodge DS0000022408.V295366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3.4. Quality in this outcome area is excellent. Residents are not offered respite care until a full needs led assessment has been carried out to ensure the home can meet all assessed need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Pre admission documentation looked at was clear and detailed information about the home and its service provision and the home statement of purpose held details to include staffing levels and the ethos of the home. Guests said they were able to read about the home before they visited and they advised that welfare officers had called at their homes to give them full information about facilities. Ten guests spoken with said they had decided to try a respite break and had loved it so they returned time and time again. One guest said that s/he had been provided with information about the home and Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 10 then been offered a respite placement. S/he said that during a pre assessment visit the staff told him/her all about the home and when s/he arrived it felt like home”. Assessment documentation seen confirmed that pre admission assessments were carried out prior to residents being admitted to Ruskin Lodge. Staff advised that the pre admission assessment process enabled the home to identify all needs and to make sure that the staff and layout of the home were suitable to meet this need. Staff advised that they attempted to gain as much information as possible about the guests prior to them coming into the home to enable staff to organise any aids adaptations or other provisions that may be required in order to modify the home wherever possible to meet assessed need. Ruskin Lodge DS0000022408.V295366.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10. Quality in this outcome area is excellent. Care plans contain full detailed information that shows guests current needs are identified and care practices put in place to meet assessed need. Guests are well treated by staff, which are respectful and attentive at all times. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were looked at in general and three examined in detail, which showed they had been recorded to a high standard. Each care plan fully detailed guests life history, likes, dislikes, capabilities and care and support needs. Records showed that all relevant people had been asked to input information to the plan and signatures were held to show that the details were an accurate reflection of assessed need. Care plan records further revealed that the plans are monitored, reviewed and updated accordingly. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 12 The care files held clear information as to what the guest required from staff of Ruskin Lodge and also detailed their wishes as to food provision, activities, interest and of how they wished their medication to be managed. Records show that most guests prefer to self - manage medication and this request was also detailed on file. In the event of guests experiencing a medical problem Ruskin Lodge uses the facility on a Local General practitioner Practice, who will visit the home on request. Staff records show that staff have received training in medication management and records/medication storage/medication administration, for the guests who wish to have assistance with medication during their respite stay, were seen to be well managed The home manager was able to provide documentation that showed care -staff had been trained to carry out care practices in a respectful and sensitive manner. Perusal of documentation revealed that staff, receive a thorough induction prior to them commencing their caring role in the home and this includes training to make sure they treat all the people who visit the home with respect and ensure their privacy. Staff spoken with said that they were trained to knock on bedroom and bathroom doors before entering and if they knew that people were in their rooms they would wait for an instruction from them before opening the door. Staff also identified that they ensured that any person who needed medical treatment was seen by a general practitioner in the treatment room of the home to make sure of full privacy. Staff said that all guests were provided with keys to their rooms and all bathroom areas had full locking facility. Policies and procedures in the home identified that guests mail was delivered to them un opened, all bedrooms had telephones to enable guests to make calls in private, meals could be served in rooms if the person wished this to happen and Guests advised that they were always treated with full respect by all staff of the home. Comments include: “Staff treat us with respect and are kind and caring”, ”What lovely people the care staff are, they treat us with respect and know when we need them or when we want to be by ourselves”. “Staff are wonderful, they seem to know what we want and when we want it, just look, staff know I want a cup of tea without me asking”. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 13 Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. 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. Activities and interest are arranged to suit the wishes of the guests. Food provision is varied well presented and of a high standard. EVIDENCE: Guests spoken with said they were able to do what they wanted, when they wanted and that staff really understood their needs. Observations of guests and staff showed they were totally at ease with each other and therefore fully able to communicate. Several guests were seen to be going out to visit local shopping areas in the community and staff advised that most guests enjoyed trips and outing and visits to places of interest One guest said s/he was going on an outing to Bury Market and another said s/he was looking forward to being taken out on a mystery tour. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 15 All guests said they were fully content with the activities and overall services of the home. Three guests spoken with said that the home provided entertainment and it was noted that a trip to the theatre was due to the next day and guests advised they were looking forward to a nostalgic trip back to “the sixties”. The home manager revealed that systems were in place to ensure guests were provided with daily living of their choice and it was noted these systems included the provision of quality assurance forms to all people spending respite periods in the home to identify what they want from the service. The questionnaires also ask about food provision and if guests wish to eat certain foods and also how guests wished to spend their time. These completed questionnaires were seen on file and guests spoken with said that they felt very much empowered by the staff and systems in the home. It was noted that the home were able to gain full information about the diverse needs, wishes and preferences of all guests and arrange to accommodate all individuals in the manner in which they felt most comfortable. Guests said food was excellent, choices were available at all times and they “were very well fed and looked after at “ Ruskin Lodge”. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18 . Quality in this outcome area is good Complaints policies are in place and residents know about the complaints system and are confident any complaints will be listened to and dealt with quickly. Staff are trained and knowledgeable in all aspects of adult protection This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home manager was able to demonstrate her knowledge and understanding of adult protection issues and provide records to show that all staff had undertaken training in all aspects of adult protection. The home adult protection polices included a policy on elder abuse and records showed that staff training in adult protection was an ongoing process in the home. The homes policy included procedures to assist staff to identify and respond to any suspicions or allegations of abuse. The manager advised that staff are also trained in dementia care to make sure that they can provide care appropriate to need and ensure effective communication systems are in place at all times. It was noted that the training input for adult protection ensured that staff were trained to be able to communicate with people who may have diverse communication levels Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 17 Guests said they were given full information about the service prior to commencement of their respite periods and this information included the home procedures re complaints. All guests spoken with had full awareness of the complaints policy although none had ever needed to utilise it. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19.20.21.23.24.25.26. Quality in this outcome area is excellent. The home manager ensures that guests live in a clean safe comfortable environment in which specialist equipment is provided to enable guests to maximise their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show that the homes maintenance person manages the health and safety areas in the home to a very high standard. The maintenance book was examined and showed that staff recorded household faults and maintenance staff quickly rectified problems. Examples of this included broken toilet handle being reported and recorded as being dealt with within an hour. Essential service records were also extremely well managed. The general cleanliness and hygiene of the home was excellent and records show that the home continues to refurbish the premises as an ongoing Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 19 process. Documentation viewed revealed that Ruskin Lodge has a three -year plan in which all areas of the building will be refurbished. It was noted that year one had been completed and the premises was now undergoing work as planned for year two which included the provision of showers in all guest bedrooms and the update of communal bathrooms. Guests advised that they were very impressed by the premises which they felt was “at the very least comparable with a five star hotel” and comments included; “Ruskin Lodge is an amazing place to stay, look at the standards, the building itself, the furnishings, the facilities, what a lovely place it is”. “ Do you know they have now added showers to the bedrooms? The rooms were wonderful before but now they are exceptional”. “ The place is spotless, smells lovely, is very well furnished, marvellous grounds and we know we are very safe as everything works well”. “We can’t wait to come back to this wonderfully maintained hotel”. The manager advised that all staff were provided with protective clothing to be used whilst carrying out certain tasks and the homes infection control guidelines had been reviewed and revised in line with information that had been provided from infection control resources. A tour of the premises revealed that modern aids and adaptations are discretely placed in all areas of the home and utilised by staff and guests as appropriate. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28.29.30 Quality in this outcome area is excellent, The home has clear recruitment policies to ensure that staff members who are appointed are carefully vetted prior to commencement. Staff, are well trained and provided in sufficient numbers and skill mix to ensure guests are safe and well treated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff spoken with advised that the recruitment and selection processes of the home included applicants being asked to provide references and Criminal Records Bureau checks ( CRB) prior to an offer of employment. Records show that staff turnover is low and staff advised that all vacancies are advertised and a process is followed to make sure of equal opportunity. The manager provided information that identified the home strictly follows its recruitment and selection policy to include standard interview questions and a formal scoring system. Job offers are made on a conditional basis until medicals have been carried and all references and CRB checks have been obtained and verified. Staff records show that they are well trained in various care practices and all staff displayed good understanding of their respective roles. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 21 Two staff spoken with had received training in dementia care and the manager advised that all staff have the facility to develop their skills by way of “E Learning” which is a computer based training programme that is provided to enable all staff to assist with their continuous personal development. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35.38 Quality in this outcome area is excellent. The home is very well managed and uses quality assurance methods to make sure that the views of the guests as to the running of the home are recorded and addressed. The home employ maintenance staff and utilise clear health and safety policies and procedures which promote and safeguard the health, safety and welfare of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received from staff and guests reveal that the registered manager of Ruskin Lodge is admired and respected for her transparency in managing the home. Comments included; Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 23 “We always know what is going on as the manager and staff keep us well informed”, ”Staff ask for our opinions on everything”, “The manager joins us regularly for a chat and makes us feel we are part of this home”, “The home has a comments book for us to record what we feel about our stay here, we can put good or bad things but I have never had anything but good to say about Ruskin Lodge”, ”The manager gives us forms to fill in to say what we think about the home”. ”The manager is always around to speak with and she always asks us if we are all alright”. The manager advised that the managing director was proactive in his pursuits of quality and had developed quality assurance systems to make sure that all National Minimum Standards` were looked at and systems implemented to make sure that the home was run in the very best interests of all who used the service. Examination of the managing directors monthly reports revealed that he is totally committed to the provision of good quality care and staff advised that he visits the Lodge very often to ensure that “things are going well”. Guests made positive comments about staff and said that they were always around to speak with them and provide assistance when required. The policy on safeguarding guest’s finances was clear and identified that choices were provided for the safekeeping of money/valuables. Guests spoken with said that they were happy with the choices provided and were sure that the home made every effort to safeguard their financial interests. The manager said that the home benefited from the services of a maintenance worker who held responsibility for promoting the health, safety and welfare of the staff and service users of the home. A meeting was held with this person who presented as most knowledgeable in all aspects of health and safety and effective in his role. He demonstrated a true commitment to ensuring the health, safety and wellbeing of all who entered the home. Records indicated that he was responsible for the health and safety induction process for staff and for the reviewing and updating of heath and safety protocols in the home. Further documentation revealed that he held responsibility for job risk assessment, building risk assessment, equipment testing and checking and all practical heath and safety aspects of the home. A tour of the premises and examination of health and safety records to include essential service maintenance demonstrated that the maintenance person was most knowledgeable and efficient in his role. Staff spoken with advised that he Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 24 “excelled in all that he did in the home” and other comments from staff included: “He is so committed to providing high quality services “ ,”He is so committed to providing an excellent service, the general maintenance of this home is a credit to him”. Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 4 X X 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 3 17 X 18 3 4 4 4 X 4 4 4 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 X 4 X 4 X X 4 Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 27 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 Ruskin Lodge DS0000022408.V295366.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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